Individual provider Active NPI

Richard Keith Mahler, PT, MPT, CEAS

  • Orthopedic Physical Therapist
  • San Diego, CA
National Provider Identifier
1790729424
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 26994 Issued in CA
Practice address
7801 Mission Center CT
Suite 430
San Diego, CA 92108-1313
Phone
(619) 296-5780
Fax
(619) 296-5787
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 26994 CA Primary

Addresses

Primary practice location

7801 Mission Center CT
Suite 430
San Diego, CA 92108-1313

Mailing address

7801 Mission Center CT
Suite 430
San Diego, CA 92108-1313
Phone (619) 296-5780

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

LicenseStateTypeSpecialty
PT 26994CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy Inc Orthopedic PastSince Aug 1, 2006 Accepting new patients
Pagador Physical Therapy Incorporated Orthopedic PastSince Jul 15, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1790729424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 MISSION CENTER CT",
            "address_2": "SUITE 430",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081313",
            "telephone_number": "619-296-5780",
            "fax_number": "619-296-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 MISSION CENTER CT",
            "address_2": "SUITE 430",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081313",
            "telephone_number": "619-296-5780",
            "fax_number": "619-296-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLER",
        "first_name": "RICHARD",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PT, MPT, CEAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 26994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 4, 2010; 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.