John Bunnell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302444 Issued in CA

Practice address

15373 Innovation Dr Ste 175
San Diego, CA 92128-3427

Phone

(858) 675-1133

NPI assigned

Aug 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Midwestern University College of Dental Medicine, Downers Grove, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Gerbarg Physical Therapy IncGroup PAC ID 2264719319, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gerbarg Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Solana Beach, CA
  • NPI 1528515806
  Medicare reassignment Care Compare group
• Beth Scalone PT, Inc

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1396776704

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1881322741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14478 CUCA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DR STE 175",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283427",
            "telephone_number": "858-675-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNELL",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john@waterpt.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health care related information",
            "address_1": "15373 Innovation Dr Ste 175",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921283427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Carmela Bundy, R.D.
• Kelsi Maree Bungert
• Jared Brent Bunker, DMD
• Sierra Bunker
• Esperanza Bunn
• Scott Patrick Bunner, M.D.
• Abigail Bunosky, PT
• Lindsay Bunselmeyer, LMFT
• Abigail Ryan Bunt, BCBA
• Ebony Bunton, RBT

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.