Bridge Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 26095 Issued in CA

Legal business name

BRIDGE PHYSICAL THERAPY

Practice address

5576 Foxtail Loop
Carlsbad, CA 92010-7152

Phone

(760) 889-5557

NPI assigned

Sep 11, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jose Manulete Feliciano III, PT

Title

Owner

Phone

(760) 889-5557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315699200000",
    "number": "1891077327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5576 FOXTAIL LOOP",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920107152",
            "telephone_number": "760-889-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5576 FOXTAIL LOOP",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920107152",
            "telephone_number": "760-889-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-11",
        "last_updated": "2011-09-11",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MANULETE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-889-5557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 26095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Carlsbad, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; 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.