Individual provider Active NPI

Ranya Halabo, PT, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1730834441
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT301645 Issued in CA
Practice address
15373 Innovation Dr Ste 175
San Diego, CA 92128-3427
Phone
(858) 675-1133
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 PT301645 CA Primary

Addresses

Primary practice location

15373 Innovation Dr Ste 175
San Diego, CA 92128-3427

Mailing address

1844 Sheridan Way
San Marcos, CA 92078-0929
Phone (858) 380-8070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220317001293 CA Practitioner - Physical Therapist in Private Practice 2264827856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

311 Broadway
Chula Vista, CA 91910-3501
Phone (619) 422-0404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT301645CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elnel, Inc. a California Corporation Total Physical Therapy Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Beth Scalone PT, Inc Physical Therapist CurrentSince Mar 8, 2022 Accepting new patients
JC Chiropractic, P.C. Past Accepting new patients

Locations

311 Broadway
Chula Vista, CA 91910
Phone (619) 422-0404

2417 Fenton St
Ste A
Chula Vista, CA 91914
Phone (619) 422-0404

181 Jamacha Rd
El Cajon, CA 92019
Phone (619) 447-7774

15373 Innovation Dr
Ste 175
San Diego, CA 92128
Phone (858) 675-1133

12171 World Trade Dr
San Diego, CA 92128
Phone (858) 217-2137

Organizations & group practices 3

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": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1730834441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SHERIDAN WAY",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920780929",
            "telephone_number": "858-380-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DR STE 175",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283427",
            "telephone_number": "858-675-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALABO",
        "first_name": "RANYA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT301645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 21, 2022; 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.