Organization Active NPI

California Doctors of Physical Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Vista, CA
National Provider Identifier
1891397147
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CALIFORNIA DOCTORS OF PHYSICAL THERAPY INC.
Practice address
1830 Hacienda Dr Ste 2
Vista, CA 92081-4544
Phone
(760) 941-8600
Fax
(760) 941-1220
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Benjamin Kurtz, PT, DPT, OCSNPI 1437555489
Title
President/Physical Therapist
Phone
(760) 703-2989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1830 Hacienda Dr Ste 2
Vista, CA 92081-4544

Mailing address

1830 Hacienda Dr Ste 2
Vista, CA 92081-4544
Phone (760) 941-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210304001455 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345653879 Receives reassigned benefits from 2 practitioners
Practice locations: Vista, CA

National Provider Directory

National Provider Directory

Locations

1830 Hacienda Dr
Ste 2
Vista, CA 92081
Phone (760) 941-8600

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": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1891397147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 HACIENDA DR STE 2",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920814544",
            "telephone_number": "760-941-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 HACIENDA DR STE 2",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920814544",
            "telephone_number": "760-941-8600",
            "fax_number": "760-941-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DOCTORS OF PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-703-2989",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.