Individual provider Active NPI

Rebecca D Pagdan, PT,CHT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1912103383
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16064 Issued in CA
Practice address
7910 Frost St
190
San Diego, CA 92123-2771
Phone
(858) 292-1445
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT16064 CA Primary

Addresses

Primary practice location

7910 Frost St
190
San Diego, CA 92123-2771

Mailing address

3070 Madison St
Carlsbad, CA 92008-2310
Phone (760) 591-7750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000297 CA Practitioner - Physical Therapist in Private Practice 8820180045 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Care Physical Therapy, PCGroup PAC ID 5890972335, 174 clinicians

Practice addresses (Care Compare)

8929 Aero Dr
Suite E
San Diego, CA 92123-2231
Phone (858) 277-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16064CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Sep 5, 2018 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Dec 27, 2021 Accepting new patients
Nexus Physical Therapy Physical Therapist CurrentSince May 4, 2015 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Sep 5, 2018 Accepting new patients
All Care Physical Therapy, P.C. Physical Therapist CurrentSince Dec 3, 2024 Accepting new patients
The Hand & Upper Extremity Center Inc Physical Therapist Past Accepting new patients
Innovative Physical Therapy Inc Physical Therapist PastSince Aug 1, 2006 Accepting new patients
Slptele LLC Physical Therapist PastSince Dec 18, 2022 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist Past Accepting new patients

Locations

3070 Madison St
Carlsbad, CA 92008
Phone (760) 434-6100

599 S Barranca Ave
Ste 555
Covina, CA 91723
Phone 81889422731025

522 Jamacha Rd
El Cajon, CA 92019
Phone (619) 579-1625

1815 E Valley Pkwy
Ste 5
Escondido, CA 92027
Phone (760) 233-9655

5806 Pacific Blvd
Huntington Park, CA 90255

4300 Long Beach Blvd
Ste 700
Long Beach, CA 90807

6420 Wilshire Blvd
Ste 600
Los Angeles, CA 90048
Phone 81889422731025

5450 W Pico Blvd
Ste 202
Los Angeles, CA 90019
Phone (214) 893-2790

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

8550 Balboa Blvd
Ste 242
Northridge, CA 91325

850 Main St
Ste 105
Ramona, CA 92065
Phone (760) 789-1424

8929 Aero Dr
Ste E
San Diego, CA 92123
Phone (858) 277-2277

2650 Camino del Rio N
Ste 200
San Diego, CA 92108
Phone (619) 295-3000

3200 4th Ave
Ste 100
San Diego, CA 92103
Phone (619) 293-3994

935 W San Marcos Blvd
Ste 102
San Marcos, CA 92078
Phone (760) 471-2440

9830 Prospect Ave
Ste A
Santee, CA 92071
Phone (619) 448-4860

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

2067 W Vista Way
Ste 185
Vista, CA 92083
Phone (760) 631-5888

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1912103383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082310",
            "telephone_number": "760-591-7750",
            "fax_number": "760-471-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 FROST ST",
            "address_2": "190",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232771",
            "telephone_number": "858-292-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGDAN",
        "first_name": "REBECCA",
        "middle_name": "D",
        "credential": "PT,CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.