Active NPI
Renu Joshi, PT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1922401801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13080
- Practice address
- 4411 30TH St Ste 100
San Diego, CA 92116-4286 - Phone
- (619) 261-6049
- NPI assigned
- Oct 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT13080 | CA | Primary |
Addresses
Primary practice location
4411 30TH St Ste 100
San Diego, CA 92116-4286
Mailing address
PO Box 9593
Rancho Santa Fe, CA 92067-4593
Phone (510) 517-6291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT13080 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embody Yoga & Physical Therapy Centers Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- La Jolla, CA
- NPI 1669648481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1922401801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9593",
"city": "RANCHO SANTA FE",
"state": "CA",
"postal_code": "920674593",
"telephone_number": "510-517-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 30TH ST STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921164286",
"telephone_number": "619-261-6049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSHI",
"first_name": "RENU",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT13080",
"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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.