Organization Active NPI

Dagostino Physical Therapy Inc

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1831165323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DAGOSTINO PHYSICAL THERAPY INC
Practice address
3809 Plaza Dr
Ste 112
Oceanside, CA 92056-4625
Phone
(760) 941-2630
Fax
(760) 941-4617
NPI assigned
Feb 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Joseph Dagostino, DPT PT
Title
President
Phone
(760) 941-2630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3809 Plaza Dr
Ste 112
Oceanside, CA 92056-4625

Mailing address

3809 Plaza Dr
Ste 112
Oceanside, CA 92056-4625
Phone (760) 941-2630

Other identifiers 1

IdentifierTypeStateIssuer
DC2386OtherCAMEDICARE RAILROAD

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831165323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 PLAZA DR",
            "address_2": "STE 112",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564625",
            "telephone_number": "760-941-2630",
            "fax_number": "760-941-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 PLAZA DR",
            "address_2": "STE 112",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564625",
            "telephone_number": "760-941-2630",
            "fax_number": "760-941-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAGOSTINO PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAGOSTINO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-941-2630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC2386",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.