NPIMap

Organization Active NPI

Gaspar Physical Therapy a Professional Corporation

  • Specialist
  • Solana Beach, CA
National Provider Identifier
1902012875
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GASPAR PHYSICAL THERAPY A PROFESSIONAL CORPORATION
Practice address
981 Lomas Santa Fe Dr Ste a
Solana Beach, CA 92075-2144
Phone
(858) 794-9995
Fax
(858) 794-9962
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Robert M Snow, DPT
Title
Coe
Phone
(760) 692-5142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

981 Lomas Santa Fe Dr Ste a
Solana Beach, CA 92075-2144

Mailing address

981 Lomas Santa Fe Dr Ste a
Solana Beach, CA 92075-2144
Phone (858) 794-9995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000309 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648165761 Receives reassigned benefits from 50 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carlsbad, CA; Encinitas, CA; Oceanside, CA; San Diego, CA; Solana Beach, CA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Doctors of Physical Therapy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

981 Lomas Santa Fe Dr
Ste A
Solana Beach, CA 92075
Phone (858) 794-9995

Practitioners & affiliated clinicians

Practitioners 3

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1902012875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 LOMAS SANTA FE DR STE A",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752144",
            "telephone_number": "858-794-9995",
            "fax_number": "858-794-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 LOMAS SANTA FE DR STE A",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752144",
            "telephone_number": "858-794-9995",
            "fax_number": "858-794-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASPAR PHYSICAL THERAPY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COE",
        "authorized_official_telephone_number": "760-692-5142",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.