Active NPI
Rehab United Sports Medicine & Physical Therapy, Inc.
- Customized Equipment (DME)
- Carlsbad, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- REHAB UNITED SPORTS MEDICINE & PHYSICAL THERAPY, INC.
- Practice address
- 5850 El Camino Real Ste 111
Carlsbad, CA 92008-8816 - Phone
- (760) 542-2414
- Fax
- (760) 542-2415
- NPI assigned
- May 24, 2024
- Organization subpart
- Yes
- Parent organization
- REHAB UNITED SPORTS MEDICINE & PHYSICAL THERAPY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan S Hill, PT
- Title
- Ceo
- Phone
- (858) 279-5570
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
5850 El Camino Real Ste 111
Carlsbad, CA 92008-8816
Mailing address
3959 Ruffin Rd Ste J
San Diego, CA 92123-1830
Phone (858) 279-5570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251108000558 | CA | DME Supplier - Independently-Practicing Occupational Therapist | 0446157226 | Practice locations: Carlsbad, CA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Physical Therapist
- San Diego, CA
- NPI 1134216294
0446157226
-
- Customized Equipment (DME)
- Escondido, CA
- NPI 1891581971
0446157226
National Provider Directory
National Provider Directory- Tax ID family
- Rehab United Sports Medicine Physical Therapy Inc
- Part of
- Rehab United Sports Medicine Physical Therapy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- San Diego, CA
- NPI 1134216294
-
- Customized Equipment (DME)
- Escondido, CA
- NPI 1891581971
Locations
5850 El Camino Real
Ste 111
Carlsbad, CA 92008
Phone (760) 542-2414
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Physical Therapist
- San Diego, CA
- NPI 1134216294
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- San Diego, CA
- NPI 1225119472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716508800000",
"number": "1750120051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 RUFFIN RD STE J",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231830",
"telephone_number": "858-279-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 EL CAMINO REAL STE 111",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920088816",
"telephone_number": "760-542-2414",
"fax_number": "760-542-2415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB UNITED SPORTS MEDICINE & PHYSICAL THERAPY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REHAB UNITED SPORTS MEDICINE & PHYSICAL THERAPY, INC.",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "858-279-5570",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.