Individual provider Active NPI

Katelyn Nicole Adamson, PT, DPT

  • Physical Therapist
  • Del Mar, CA
National Provider Identifier
1831729250
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297967 Issued in CA
Practice address
2690 Via de la Valle Ste D160
Del Mar, CA 92014-1991
Phone
(858) 290-0855
NPI assigned
Jan 24, 2020
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 297967 CA Primary

Addresses

Primary practice location

2690 Via de la Valle Ste D160
Del Mar, CA 92014-1991

Mailing address

217 Calle de Sereno
Encinitas, CA 92024-2104
Phone (760) 840-9736

Other names 1

  • Katelyn Nicole Weisenberger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212001171 CA Practitioner - Physical Therapist in Private Practice 1052726684 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Physical Therapy, Inc Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Bespoke San Diego Physical Therapy PC Physical Therapist CurrentSince Sep 6, 2024 Accepting new patients
Next Phase Medical PC PastSince Sep 28, 2025 Accepting new patients

Locations

850 W 18th St
Ste D
Costa Mesa, CA 92627
Phone (424) 297-3600

2690 Via de la Valle
Ste D160
Del Mar, CA 92014
Phone (858) 290-0855

11825 Major St
Ste 107
Los Angeles, CA 90230
Phone (310) 915-6100

322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 915-6100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1831729250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CALLE DE SERENO",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242104",
            "telephone_number": "760-840-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 VIA DE LA VALLE STE D160",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141991",
            "telephone_number": "858-290-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMSON",
        "first_name": "KATELYN",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "WEISENBERGER",
            "middle_name": "NICOLE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.