NPIMap

Organization Active NPI

Fisiopro1

  • Sports Physical Therapist
  • San Diego, CA
National Provider Identifier
1801255112
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
39315 Issued in CA
Legal business name
FISIOPRO1
Practice address
3780 Hancock St
Suite D
San Diego, CA 92110-4340
Phone
(858) 231-7805
NPI assigned
Feb 15, 2016
Last updated
Feb 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Christina Carmosino, DPTNPI 1427307156
Title
Physical Therapist
Phone
(518) 859-2980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 39315 CA Primary

Addresses

Primary practice location

3780 Hancock St
Suite D
San Diego, CA 92110-4340

Mailing address

3803 Marquette PL
Apt 2B
San Diego, CA 92106-1056

National Provider Directory

National Provider Directory

Locations

3780 Hancock St
Ste D
San Diego, CA 92110
Phone (858) 231-7805

Practitioners & affiliated clinicians

Practitioners 1

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": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1801255112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 MARQUETTE PL",
            "address_2": "APT 2B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 HANCOCK ST",
            "address_2": "SUITE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104340",
            "telephone_number": "858-231-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISIOPRO1",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "CARMOSINO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "518-859-2980",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "39315",
            "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 Feb 15, 2016; 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.