NPIMap

Organization Active NPI

La Mesa Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • La Mesa, CA
National Provider Identifier
1790839710
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LA MESA PHYSICAL THERAPY, INC
Practice address
8939 La Mesa Blvd
Suite 1
La Mesa, CA 91942-9057
Phone
(619) 464-1352
Fax
(619) 464-7255
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Gerald D Nash, MED, RPTNPI 1447331681
Title
President
Phone
(619) 464-1352

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

8939 La Mesa Blvd
Suite 1
La Mesa, CA 91942-9057

Mailing address

8939 La Mesa Blvd
Suite 1
La Mesa, CA 91942-9057
Phone (619) 464-1352

National Provider Directory

National Provider Directory

Locations

8939 La Mesa Blvd
Ste 1
La Mesa, CA 91942
Phone (619) 464-1352

Practitioners & affiliated clinicians

Practitioners 6

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790839710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8939 LA MESA BLVD",
            "address_2": "SUITE 1",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429057",
            "telephone_number": "619-464-1352",
            "fax_number": "619-464-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 LA MESA BLVD",
            "address_2": "SUITE 1",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429057",
            "telephone_number": "619-464-1352",
            "fax_number": "619-464-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MESA PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-464-1352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MED, RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.