Active NPI
Thomas 'Jake' Edward Hughes, PT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1861523060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CA 7172
- Practice address
- 9528 Miramar Rd
# 24
San Diego, CA 92126-4533 - Phone
- (858) 549-2898
- Fax
- (858) 549-2141
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CA 7172 | CA | Primary |
Addresses
Primary practice location
9528 Miramar Rd
# 24
San Diego, CA 92126-4533
Mailing address
9528 Miramar Rd
# 24
San Diego, CA 92126-4533
Phone (858) 549-2898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 7172 | Other | CA | STATE LICENSE |
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 |
|---|---|---|---|
| CA 7172 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1861523060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9528 MIRAMAR RD",
"address_2": "# 24",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264533",
"telephone_number": "858-549-2898",
"fax_number": "858-549-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9528 MIRAMAR RD",
"address_2": "# 24",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264533",
"telephone_number": "858-549-2898",
"fax_number": "858-549-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "THOMAS 'JAKE'",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "CA 7172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT 7172",
"state": "CA"
}
],
"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 May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.