Active NPI
Physiotherapy Associates Inc
- Rehabilitation Clinic/Center
- San Diego, CA
National Provider Identifier
1902837628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- PHYSIOTHERAPY ASSOCIATES INC
- Practice address
- 12250 El Camino Real
Ste 190
San Diego, CA 92130-2298 - Phone
- (858) 793-1460
- Fax
- (858) 793-1989
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael E. Tarvin
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
12250 El Camino Real
Ste 190
San Diego, CA 92130-2298
Mailing address
4714 Gettysburg Rd
Suite 340
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0746440009 | Other | CA | DME |
Other names 1
- Select Physical Therapy
National Provider Directory
National Provider DirectoryLocations
4714 Gettysburg Rd
Ste 340
Mechanicsburg, PA 17055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541980800000",
"number": "1902837628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"address_2": "SUITE 340",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12250 EL CAMINO REAL",
"address_2": "STE 190",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302298",
"telephone_number": "858-793-1460",
"fax_number": "858-793-1989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2018-11-12",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "0746440009",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Select Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
- Physicians Home and Health Care
- Physicians Radiology Medical Group, Inc.
- Physiofixx Ipt Physical Therapy Corp
- Physiotherapy Associates Inc
- Physiotherapy Associates Inc
- Physiotherapy Associates, Inc.
- Physiotherapy Associates, Inc.
- Physiotherapy Associates, Inc.
- Suzann Kristin Pia
- Daniel Joseph Piacquadio, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.