NPIMap

Organization Active NPI

Associated Physical Therapy Inc

Doing business as Physical Therapy Center

  • Physical Therapist
  • La Mesa, CA
National Provider Identifier
1740224625
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33067 Issued in CA
Legal business name
ASSOCIATED PHYSICAL THERAPY INC
Doing business as
Physical Therapy Center
Practice address
8881 Fletcher Pkwy
Suite 280
La Mesa, CA 91942-6105
Phone
(619) 464-0105
Fax
(619) 464-4317
NPI assigned
Jun 15, 2006
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dirk Oliver
Title
Administrator
Phone
(619) 464-0105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 33067 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy
Suite 280
La Mesa, CA 91942-6105

Mailing address

8881 Fletcher Pkwy
Suite 280
La Mesa, CA 91942-6105
Phone (619) 464-0105

Other names 1

  • Physical Therapy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740224625. Details of each certification follow.

  • CCN 056749 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 056749

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ASSOCIATED PHYSICAL THERAPY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Aug 31, 1995
Last certification
Jul 22, 2014
Ownership / control type
Proprietary
Facility address
8881 Fletcher Pkwy #280
La Mesa, CA 91942

National Provider Directory

National Provider Directory

Locations

3855 Avocado Blvd
Ste 140
La Mesa, CA 91941
Phone (619) 660-7916

8881 Fletcher Pkwy
Ste 280
La Mesa, CA 91942
Phone (619) 464-0105

Practitioners & affiliated clinicians

Practitioners 6

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1740224625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "SUITE 280",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426105",
            "telephone_number": "619-464-0105",
            "fax_number": "619-464-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "SUITE 280",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426105",
            "telephone_number": "619-464-0105",
            "fax_number": "619-464-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "DIRK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-464-0105"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.