Individual provider Active NPI

Amy Delap, P.T.,C.S.C.S

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1679783013
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22961 Issued in CA
Practice address
3115 Ocean Front Walk
San Diego, CA 92109-8729
Phone
(858) 488-3597
Fax
(858) 488-3178
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT22961 CA Primary

Addresses

Primary practice location

3115 Ocean Front Walk
San Diego, CA 92109-8729

Mailing address

3639 Midway Dr Ste B286
San Diego, CA 92110-5254
Phone (858) 488-3597

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ADELAP532778@DIRECT.MED.UTAH.EDU Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12335 Hymeadow Dr
Suite 450
Austin, TX 78750-1934

711 Dry Gulch BND
Cedar Park, TX 78613-3180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22961CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Water and Sports Physical Therapy, Inc Physical Therapist Past Accepting new patients
Water and Sports Physical Therapy Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adelap532778@direct.med.utah.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1679783013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 MIDWAY DR STE B286",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105254",
            "telephone_number": "858-488-3597",
            "fax_number": "858-488-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 OCEAN FRONT WALK",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921098729",
            "telephone_number": "858-488-3597",
            "fax_number": "858-488-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAP",
        "first_name": "AMY",
        "credential": "P.T.,C.S.C.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADELAP532778@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.