Cole Vanairsdale, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302742 Issued in CA

Practice address

1625 E Main St Ste 104
El Cajon, CA 92021-5223

Phone

(619) 873-2160

NPI assigned

Oct 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1760144398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PLAZA MANZANA",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E MAIN ST STE 104",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215223",
            "telephone_number": "619-873-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANAIRSDALE",
        "first_name": "COLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31974",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Christopher Vallely
• Haley Valles
• Teresa Ann Van Devere
• Melissa Elizabeth Van Pelt
• Marcus Minh Van, M.D.
• Chelsea Margaret Ellen Vance
• Lauren Vanderveer, PHARMD
• Adam Shawn Vandiver
• Zoe Faith Modesto Vanlandingham
• Tamara Joanne Vanness

• Physical Therapist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.