Gaspar Physical Therapy a Professional Corporation
Organization Active NPI Specialist · Carlsbad, CA
NPI 1851664072 · NPPES record last updated Oct 12, 2016
Key facts
- NPI
- 1851664072
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- GASPAR PHYSICAL THERAPY A PROFESSIONAL CORPORATION
- Practice address
- 6102 Avenida Encinas
Ste E
Carlsbad, CA 92011-1005 - Phone
- (760) 634-9750
- Fax
- (760) 634-9752
- NPI assigned
- Feb 18, 2012
- Organization subpart
- No
Authorized official
- Name
- Robert Snow
- Title
- Ceo
- Phone
- (760) 692-5142
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 5
Practitioners 9
-
Allison L Anady, PT, DPT
-
Collin Gehrke, PT, DPT
-
Nicholas John Haider, MPT PT
-
Brian Andrew Stone, DPT
-
Briana Valenzuela, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040218000309 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0648165761 |
Receives reassigned benefits from 50 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Carlsbad, CA; Encinitas, CA; Oceanside, CA; San Diego, CA; Solana Beach, CA |
National Provider Directory
- Tax ID family
- Doctors of Physical Therapy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
6102 Avenida Encinas
Ste E
Carlsbad, CA 92011-1005
Mailing address
6102 Avenida Encinas
Ste E
Carlsbad, CA 92011-1005
Phone (760) 634-9750
Other names
- Doctors of Physical Therapy
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.