NPIMap

Organization Active NPI

La Mesa Physical Therapy Group, Inc.

  • Physical Therapist
  • La Mesa, CA
National Provider Identifier
1861765190
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33613 Issued in CA
Legal business name
LA MESA PHYSICAL THERAPY GROUP, INC.
Practice address
5648 Lake Murray Blvd
La Mesa, CA 91942-1929
Phone
(619) 464-1352
Fax
(619) 464-7255
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Dr. Joseph Lestino
Title
Physical Therapist
Phone
(619) 464-1352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 33613 CA Primary

Addresses

Primary practice location

5648 Lake Murray Blvd
La Mesa, CA 91942-1929

Mailing address

5648 Lake Murray Blvd
La Mesa, CA 91942-1929
Phone (619) 464-1352

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1861765190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5648 LAKE MURRAY BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421929",
            "telephone_number": "619-464-1352",
            "fax_number": "619-464-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5648 LAKE MURRAY BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421929",
            "telephone_number": "619-464-1352",
            "fax_number": "619-464-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MESA PHYSICAL THERAPY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "LESTINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "619-464-1352",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.