Active NPI
Lilyanne Paulino Pagador, DPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1851633564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 40000
- Practice address
- 9855 Erma Road
Suite 106
San Diego, CA 92131 - Phone
- (858) 549-7111
- Fax
- (858) 549-9240
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 40000 | CA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT 40000 | CA |
Addresses
Primary practice location
9855 Erma Road
Suite 106
San Diego, CA 92131
Mailing address
9855 Erma Road
Suite 106
San Diego, CA 92131
Phone (858) 549-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 40000 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1851633564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9855 ERMA ROAD",
"address_2": "SUITE 106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92131",
"telephone_number": "858-549-7111",
"fax_number": "858-549-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9855 ERMA ROAD",
"address_2": "SUITE 106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92131",
"telephone_number": "858-549-7111",
"fax_number": "858-549-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGADOR",
"first_name": "LILYANNE",
"middle_name": "PAULINO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 40000",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT 40000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.