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Organization Active NPI

Barbara Jean Boutelle Carlsbad Physical Therapy

Doing business as Black Mountain Physical Therapy and Hand Center

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1841830700
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BARBARA JEAN BOUTELLE CARLSBAD PHYSICAL THERAPY
Doing business as
Black Mountain Physical Therapy and Hand Center
Practice address
9888 Carmel Mountain Rd Ste D
San Diego, CA 92129-2807
Phone
(760) 591-7750
Fax
(760) 471-5139
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Julianna Chavez
Title
Admin. Assistant
Phone
(760) 591-7750

Specialties & licenses 1

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

Addresses

Primary practice location

9888 Carmel Mountain Rd Ste D
San Diego, CA 92129-2807

Mailing address

3070 Madison St
Carlsbad, CA 92008-2310
Phone (760) 591-7750

Other names 1

  • Black Mountain Physical Therapy and Hand Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000823 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082527189 Receives reassigned benefits from 32 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santee, CA; Vista, CA; San Marcos, CA; San Diego, CA; Ramona, CA; Oceanside, CA; Escondido, CA; Carlsbad, CA

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Barbara Jean Boutelle Carlsbad Physical Therapy12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3070 Madison St
Carlsbad, CA 92008
Phone (760) 434-6100

9888 Carmel Mountain Rd
Ste D
San Diego, CA 92129
Phone (858) 207-4481

Practitioners & affiliated clinicians

Practitioners 3

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": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1841830700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082310",
            "telephone_number": "760-591-7750",
            "fax_number": "760-471-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 CARMEL MOUNTAIN RD STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292807",
            "telephone_number": "760-591-7750",
            "fax_number": "760-471-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA JEAN BOUTELLE CARLSBAD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "JULIANNA",
        "authorized_official_title_or_position": "ADMIN. ASSISTANT",
        "authorized_official_telephone_number": "760-591-7750"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Mountain Physical Therapy and Hand Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Black Mountain Physical Therapy and Hand Center",
            "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 Aug 14, 2026; 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.