Individual provider Active NPI

Garrett Robert Desrosiers, PT, DPT

  • Physical Therapist
  • San Marcos, CA
National Provider Identifier
1679921084
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT291404 Issued in CA
Practice address
137 S Las Posas Rd Ste 254
San Marcos, CA 92078-2475
Phone
(508) 789-9776
NPI assigned
May 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 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 PT291404 CA Primary

Addresses

Primary practice location

137 S Las Posas Rd Ste 254
San Marcos, CA 92078-2475

Mailing address

21 Sandpiper LN
Acushnet, MA 02743-1345

Other practice location 1

350 Iris Dr
Salinas, CA 93906-3514
Phone (831) 449-1515

Other practice location 2

255 N Elm St Ste 202
Escondido, CA 92025-3431
Phone (442) 277-4142

Other practice location 3

2420 Vista Way Ste 215
Oceanside, CA 92054-6190
Phone (442) 266-8089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190222000889 CA Practitioner - Physical Therapist in Private Practice 5294081709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proresults Physical Therapy IncGroup PAC ID 8022364538, 30 clinicians

Practice addresses (Care Compare)

137 S Las Posas Rd
Suite 254
San Marcos, CA 92078-2475
Phone (760) 290-3121

Merit-based Incentive Payment System (MIPS)

Final score
98.29 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT291404CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proresults Physical Therapy Inc. Physical Therapist CurrentSince May 9, 2018 Accepting new patients

Locations

1154 E Main St
Ste 106
El Cajon, CA 92021
Phone (619) 215-1327

255 N Elm St
Ste 202
Escondido, CA 92025
Phone (442) 277-4142

2420 Vista Way
Ste 215
Oceanside, CA 92054
Phone (442) 220-1426

137 S Las Posas Rd
Ste 254
San Marcos, CA 92078
Phone (760) 290-3121

41720 Winchester Rd
Ste E
Temecula, CA 92590
Phone (760) 685-8867

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1679921084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SANDPIPER LN",
            "city": "ACUSHNET",
            "state": "MA",
            "postal_code": "027431345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S LAS POSAS RD STE 254",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782475",
            "telephone_number": "508-789-9776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Iris Dr",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939063514",
            "country_code": "US",
            "telephone_number": "831-449-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 N Elm St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920253431",
            "country_code": "US",
            "telephone_number": "442-277-4142",
            "fax_number": "442-277-4310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 Vista Way Ste 215",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920546190",
            "country_code": "US",
            "telephone_number": "442-266-8089",
            "fax_number": "442-266-8448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESROSIERS",
        "first_name": "GARRETT",
        "middle_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.