Organization Active NPI

Bethesda Physical Therapy and Rehabilitation Services Inc.

  • Physical Medicine & Rehabilitation Physician
  • National City, CA
National Provider Identifier
1700492949
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BETHESDA PHYSICAL THERAPY AND REHABILITATION SERVICES INC.
Practice address
3142 E Plaza Blvd Ste T
National City, CA 91950-3941
Phone
(619) 246-1136
NPI assigned
Sep 22, 2020
Last updated
Nov 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Jemel Lasig, PT, DPT
Title
Provider
Phone
(619) 246-1136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

3142 E Plaza Blvd Ste T
National City, CA 91950-3941

Mailing address

1585 Ortega St
Chula Vista, CA 91913-2634
Phone (619) 246-1136

Other practice location 1

1585 Ortega St
Chula Vista, CA 91913-2634
Phone (619) 246-1136

National Provider Directory

National Provider Directory

Locations

3142 E Plaza Blvd
Ste T
National City, CA 91950
Phone (619) 246-1136

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1700492949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 ORTEGA ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132634",
            "telephone_number": "619-246-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 E PLAZA BLVD STE T",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503941",
            "telephone_number": "619-246-1136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 Ortega St",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919132634",
            "country_code": "US",
            "telephone_number": "619-246-1136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETHESDA PHYSICAL THERAPY AND REHABILITATION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "LASIG",
        "authorized_official_first_name": "JEMEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "619-246-1136",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.