Organization Active NPI

New Horizons Physical Therapy, PC

  • Physical Therapist
  • Encinitas, CA
National Provider Identifier
1699817908
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20026 Issued in CA
Legal business name
NEW HORIZONS PHYSICAL THERAPY, PC
Practice address
169 Saxony Rd
Suite 208
Encinitas, CA 92024-6778
Phone
(760) 230-6472
Fax
(760) 230-6473
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Dr. Tammy Elizabeth Mondry, DPT, MSRS, CLT-LANANPI 1225089238
Title
Doctor of Physical Therapy,Co-Owner
Phone
(858) 764-2409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT20026 CA Primary

Addresses

Primary practice location

169 Saxony Rd
Suite 208
Encinitas, CA 92024-6778

Mailing address

169 Saxony Rd
Suite 208
Encinitas, CA 92024-6778
Phone (760) 230-6472

Other identifiers 2

IdentifierTypeStateIssuer
0PT200260OtherCABLUE SHIELD OF CA
5306540001OtherCAMEDICARE DME SOUTHERN CA

Other names 1

  • New Horizons Physical Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

169 Saxony Rd
Ste 208
Encinitas, CA 92024
Phone (760) 230-6472

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1699817908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 SAXONY RD",
            "address_2": "SUITE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246778",
            "telephone_number": "760-230-6472",
            "fax_number": "760-230-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SAXONY RD",
            "address_2": "SUITE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246778",
            "telephone_number": "760-230-6472",
            "fax_number": "760-230-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "MONDRY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY,CO-OWNER",
        "authorized_official_telephone_number": "858-764-2409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, MSRS, CLT-LANA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "0PT200260",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME SOUTHERN CA",
            "identifier": "5306540001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.