NPIMap

Organization Active NPI

Inniss/Neilson Physical Therapy, Inc.

Doing business as Bonita Physical Therapy

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1811008964
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 16623 Issued in CA
Legal business name
INNISS/NEILSON PHYSICAL THERAPY, INC.
Doing business as
Bonita Physical Therapy
Practice address
264 Landis Ave Ste 103
Chula Vista, CA 91910-2651
Phone
(619) 422-3970
NPI assigned
Aug 31, 2006
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. Brian Neilson, P.T.NPI 1275581480
Title
C.E.O.
Phone
(619) 422-3970

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 16623 CA Primary

Addresses

Primary practice location

264 Landis Ave Ste 103
Chula Vista, CA 91910-2651

Mailing address

264 Landis Ave Ste 103
Chula Vista, CA 91910-2651
Phone (619) 422-3970

Other names 1

  • Bonita Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

264 Landis Ave
Ste 101
Chula Vista, CA 91910
Phone (619) 422-3991

264 Landis Ave
Ste 103
Chula Vista, CA 91910
Phone (619) 422-3970

Practitioners & affiliated clinicians

Practitioners 3

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811008964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 LANDIS AVE STE 103",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102651",
            "telephone_number": "619-422-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 LANDIS AVE STE 103",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102651",
            "telephone_number": "619-422-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNISS/NEILSON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NEILSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "619-422-3970",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 16623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.