Organization Active NPI

Mesa Physical Therapy

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1841258126
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MESA PHYSICAL THERAPY
Doing business as
Mesa Physical Therapy
Practice address
7510 Clairemont Mesa Blvd
#103
San Diego, CA 92111-1539
Phone
(858) 277-2277
Fax
(858) 277-7358
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Anne Lasson
Title
Vice President
Phone
(408) 570-0510

Specialties & licenses 1

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

Addresses

Primary practice location

7510 Clairemont Mesa Blvd
#103
San Diego, CA 92111-1539

Mailing address

5962 La Place CT
Carlsbad, CA 92008-8807
Phone (800) 929-4776

Other identifiers 1

IdentifierTypeStateIssuer
513299OtherCAFIRST HEALTH

Other names 1

  • Mesa Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

5962 La Place Ct
Carlsbad, CA 92008

7510 Clairemont Mesa Blvd
Ste 103
San Diego, CA 92111
Phone (858) 277-2277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1841258126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 LA PLACE CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088807",
            "telephone_number": "800-929-4776",
            "fax_number": "760-931-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 CLAIREMONT MESA BLVD",
            "address_2": "#103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111539",
            "telephone_number": "858-277-2277",
            "fax_number": "858-277-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "LASSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-570-0510"
    },
    "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": "FIRST HEALTH",
            "identifier": "513299",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesa Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 27, 2007; 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.