Organization Active NPI

Perform Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • San Diego, CA
National Provider Identifier
1821721507
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PERFORM PHYSICAL THERAPY AND WELLNESS
Practice address
6663 El Cajon Blvd Ste E
San Diego, CA 92115-2850
Phone
(858) 208-0465
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Meredith Claire Haeuptle, DPT
Title
Owner, Ceo
Phone
(609) 851-7719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6663 El Cajon Blvd Ste E
San Diego, CA 92115-2850

Mailing address

353 Orange Ave
Coronado, CA 92118-1432

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.performphysicaltherapy.org Direct

National Provider Directory

National Provider Directory

Locations

6663 El Cajon Blvd
Ste E
San Diego, CA 92115
Phone (858) 208-0465

Practitioners & affiliated clinicians

Practitioners 1

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": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1821721507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 ORANGE AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6663 EL CAJON BLVD STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921152850",
            "telephone_number": "858-208-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORM PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "HAEUPTLE",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "609-851-7719",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.performphysicaltherapy.org",
            "affiliation": "N",
            "endpointDescription": "Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6663 El Cajon Blvd Ste E",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921152850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 8, 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.