NPIMap

Organization Active NPI

Tassinari Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • San Diego, CA
National Provider Identifier
1760451561
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TASSINARI PHYSICAL THERAPY INC
Doing business as
Tassinari Physical Therapy Inc.
Practice address
4747 Mission Blvd
Ste 4
San Diego, CA 92109
Phone
(858) 581-6900
Fax
(858) 581-6999
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Marcia Renee Tassinari, MPTNPI 1013067677
Title
Owner Cfo
Phone
(858) 220-3213

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CA Primary

Addresses

Primary practice location

4747 Mission Blvd
Ste 4
San Diego, CA 92109

Mailing address

4747 Mission Blvd
Ste 4
San Diego, CA 92109
Phone (858) 220-3213

Other identifiers 1

IdentifierTypeStateIssuer
W14977OtherCAPTAN

Other names 1

  • Tassinari Physical Therapy Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331001440 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688666589 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1760451561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 MISSION BLVD",
            "address_2": "STE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "858-220-3213",
            "fax_number": "858-581-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 MISSION BLVD",
            "address_2": "STE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "858-581-6900",
            "fax_number": "858-581-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASSINARI PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "TASSINARI",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER CFO",
        "authorized_official_telephone_number": "858-220-3213",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W14977",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tassinari Physical Therapy Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tassinari Physical Therapy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 18, 2023; 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.

Verify at the official NPI Registry.