Active NPI
Perform Physical Therapy and Wellness
- Physical Therapy Clinic/Center
- San Diego, CA
National Provider Identifier
1821721507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.performphysicaltherapy.org | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopedic Physical Therapist
- San Diego, CA
- NPI 1467946921
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.