Neil Salvador Dala Catudio, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

41469 Issued in CA

Practice address

247 E Bobier Dr
Vista, CA 92084-3026

Phone

(760) 945-3033

NPI assigned

Dec 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1861675977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E BOBIER DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843026",
            "telephone_number": "760-945-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E BOBIER DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843026",
            "telephone_number": "760-945-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "IL",
            "postal_code": "617649774",
            "country_code": "US",
            "telephone_number": "815-842-2828 x4628",
            "fax_number": "815-842-6893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CATUDIO",
        "first_name": "NEIL SALVADOR",
        "middle_name": "DALA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "41469",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070016062",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861675977",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861675977",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Escondido",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "247 E Bobier Dr",
            "city": "Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920843026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vincent E. Castro, PH.D.
• Mikayla Catalfamo
• Mary Anne Caterino
• Akira Cathcart
• Laura Elizabeth Catlin
• Emilio Javier Cavazos, NP
• Irma Cazarez
• Daisy Cedillo
• Beatriz Celis
• Center for Hip Preservation and Children's Orthopaedics Inc.

• Geriatric Physical Therapist in Vista, CA
• Providers in Vista, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.