Organization Active NPI

Euclid Physical Therapy, Inc.

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1871821918
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EUCLID PHYSICAL THERAPY, INC.
Practice address
4440 Euclid Ave
San Diego, CA 92115-4522
Phone
(858) 414-7966
NPI assigned
Dec 1, 2009
Last updated
Dec 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Mrs. Natella Karetny
Title
President
Phone
(858) 414-7967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4440 Euclid Ave
San Diego, CA 92115-4522

Mailing address

4440 Euclid Ave
San Diego, CA 92115-4522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100222000661 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577607068 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

4421 47th St
San Diego, CA 92115
Phone (619) 280-3200

Practitioners & affiliated clinicians

Practitioners 3

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": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1871821918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 EUCLID AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 EUCLID AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154522",
            "telephone_number": "858-414-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUCLID PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "KARETNY",
        "authorized_official_first_name": "NATELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-414-7967",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.