Organization Active NPI

Highline Physical Therapy

  • Physical Therapist
  • Cardiff by the Sea, CA
National Provider Identifier
1831897123
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HIGHLINE PHYSICAL THERAPY
Practice address
230 Birmingham Drive
Cardiff by the Sea, CA 92007-1722
Phone
(760) 230-1377
Fax
(888) 324-4764
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Nina Wheeler, PT, DPTNPI 1588260608
Title
Physical Therapist
Phone
(760) 230-1377

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 Primary

Addresses

Primary practice location

230 Birmingham Drive
Cardiff by the Sea, CA 92007-1722

Mailing address

230 Birmingham Dr
Cardiff by the Sea, CA 92007-1722
Phone (760) 230-1377

Other practice location 1

1900 N Coast Highway 101 Ste B
Encinitas, CA 92024-1056
Phone (415) 509-7173

Other names 1

  • Highline Physical Therapy & Sports Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230612000502 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769849496 Receives reassigned benefits from 3 practitioners
Practice locations: Cardiff by the Sea, CA; Encinitas, CA

National Provider Directory

National Provider Directory

Locations

230 Birmingham Dr
Cardiff by the Sea, CA 92007
Phone (415) 846-0395

1900 N Coast Highway 101
Ste B
Encinitas, CA 92024
Phone (415) 509-7173

Practitioners & affiliated clinicians

Practitioners 5

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": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1831897123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BIRMINGHAM DR",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071722",
            "telephone_number": "760-230-1377",
            "fax_number": "888-324-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BIRMINGHAM DRIVE",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071722",
            "telephone_number": "760-230-1377",
            "fax_number": "888-324-4764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N Coast Highway 101 Ste B",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920241056",
            "country_code": "US",
            "telephone_number": "415-509-7173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIGHLINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-230-1377",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highline Physical Therapy & Sports Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cardiff by the Sea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.