NPIMap

Organization Active NPI

Bridge Physical Therapy

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1891077327
Registry record updated Sep 11, 2011
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2011

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

Authorized official

Name
Mr. Jose Manulete Feliciano III, PTNPI 1952342602
Title
Owner
Phone
(760) 889-5557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT 26095 CA Primary

Addresses

Primary practice location

5576 Foxtail Loop
Carlsbad, CA 92010-7152

Mailing address

5576 Foxtail Loop
Carlsbad, CA 92010-7152
Phone (760) 889-5557

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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": []
}

Other providers in Carlsbad, CA

Sources for this page

  • 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.