Active NPI
Vera Inge Philipsen, DPT
- Physical Therapist
- Chula Vista, CA
National Provider Identifier
1780835157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34927
- Practice address
- 885 Canarios CT Ste 110
Chula Vista, CA 91910-7877 - Phone
- (619) 656-5102
- Fax
- (619) 656-5143
- NPI assigned
- Oct 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34927 | CA | Primary |
Addresses
Primary practice location
885 Canarios CT Ste 110
Chula Vista, CA 91910-7877
Mailing address
885 Canarios CT Ste 110
Chula Vista, CA 91910-7877
Phone (619) 656-5102
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT34927 | Other | CA | PHYSICAL THERAPIST LICENSE |
| 201311082 | Other | CA | CHT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT34927 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1780835157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 CANARIOS CT STE 110",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107877",
"telephone_number": "619-656-5102",
"fax_number": "619-656-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 CANARIOS CT STE 110",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107877",
"telephone_number": "619-656-5102",
"fax_number": "619-656-5143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPSEN",
"first_name": "VERA",
"middle_name": "INGE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT34927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "PT34927",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHT",
"identifier": "201311082",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.