Active NPI
Mesa Physical Therapy
- Physical Therapist
- San Diego, CA
National Provider Identifier
1841258126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 513299 | Other | CA | FIRST HEALTH |
Other names 1
- Mesa Physical Therapy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- La Jolla, CA
- NPI 1083662456
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.