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Select Cal Physical Therapy PC

Organization Active NPI Rehabilitation Clinic/Center · La Mesa, CA

NPI 1689337222 · NPPES record last updated Oct 20, 2021

Key facts

NPI
1689337222
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Clinic/Center 261QR0400X
Legal business name
SELECT CAL PHYSICAL THERAPY PC
Practice address
5648 Lake Murray Blvd
La Mesa, CA 91942-1929
Phone
(619) 464-1352
Fax
(619) 464-7255
NPI assigned
Oct 20, 2021
Organization subpart
No

Authorized official

Name
Michael E Tarvin
Title
Vice President
Phone
(717) 972-1100

Corporate family (same tax ID) 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

National Provider Directory

Tax ID family
Select Cal Physical Therapy PC (34 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Yes

Addresses

Primary practice location

5648 Lake Murray Blvd
La Mesa, CA 91942-1929

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2021.

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1689337222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5648 LAKE MURRAY BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421929",
            "telephone_number": "619-464-1352",
            "fax_number": "619-464-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT CAL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

All providers in La Mesa, CA · Rehabilitation Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.