NPIMap

Organization Active NPI

Paczkowski Physical Therapy, Apc

Doing business as Inside Out Strength and Performance

  • Physical Therapy Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1790382422
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PACZKOWSKI PHYSICAL THERAPY, APC
Doing business as
Inside Out Strength and Performance
Practice address
6884 Embarcadero LN
Carlsbad, CA 92011-3227
Phone
(760) 301-6566
NPI assigned
Oct 6, 2020
Last updated
Oct 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Lindsey Paczkowski, DPTNPI 1528510583
Title
Physical Therapist
Phone
(760) 301-6566

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 NU Primary

Addresses

Primary practice location

6884 Embarcadero LN
Carlsbad, CA 92011-3227

Mailing address

6884 Embarcadero LN
Carlsbad, CA 92011-3227
Phone (760) 301-6566

Other identifiers 3

IdentifierTypeStateIssuer
1457755860OtherPRIVATE PRACTICE
291527OtherCAPRIVATE PRACTICE
291980OtherCAPRIVATE PRACTICE

Other names 1

  • Inside Out Strength and Performance Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Jane Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1790382422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6884 EMBARCADERO LN",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920113227",
            "telephone_number": "760-301-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6884 EMBARCADERO LN",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920113227",
            "telephone_number": "760-301-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACZKOWSKI PHYSICAL THERAPY, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "PACZKOWSKI",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-301-6566",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "1457755860",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "291527",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "291980",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Jane",
            "affiliation": "N",
            "endpointDescription": "EMR system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Jane App",
            "address_1": "6884 Embarcadero Ln",
            "city": "Carlsbad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920113227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Inside Out Strength and Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 2020; 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.