NPIMap

Organization Active NPI

La Jolla Physical Therapy Center, Inc.

  • Physical Therapist
  • La Jolla, CA
National Provider Identifier
1861531469
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13574 Issued in CA
Legal business name
LA JOLLA PHYSICAL THERAPY CENTER, INC.
Practice address
7450 Girard Ave
La Jolla, CA 92037-5142
Phone
(858) 454-9769
Fax
(858) 454-0384
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Audra Richey
Title
Office Manager
Phone
(858) 454-9769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT13574 CA Primary

Addresses

Primary practice location

7450 Girard Ave
La Jolla, CA 92037-5142

Mailing address

7450 Girard Ave
La Jolla, CA 92037-5142
Phone (858) 454-9769

National Provider Directory

National Provider Directory

Locations

7301 Girard Ave
Ste 203
La Jolla, CA 92037

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861531469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 GIRARD AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375142",
            "telephone_number": "858-454-9769",
            "fax_number": "858-454-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 GIRARD AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375142",
            "telephone_number": "858-454-9769",
            "fax_number": "858-454-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA PHYSICAL THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-454-9769"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.