Organization Active NPI

Trails Physical Therapy

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1922490895
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20328 Issued in CA
Legal business name
TRAILS PHYSICAL THERAPY
Practice address
7676 Jackson Dr Ste 4
San Diego, CA 92119-1515
Phone
(858) 692-5835
Fax
(619) 825-7500
NPI assigned
Mar 2, 2015
Organization subpart
Yes
Parent organization
BRIT IN HOME PHYSICAL THERAPY LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Mr. Darren Shaun Williams, P.T.
Title
Owner/ Physical Therapist
Phone
(858) 692-5835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT20328 CA Primary

Addresses

Primary practice location

7676 Jackson Dr Ste 4
San Diego, CA 92119-1515

Mailing address

6717 Murray Park Dr
San Diego, CA 92120-3911
Phone (858) 692-5835

National Provider Directory

National Provider Directory
Tax ID family
Trails Physical Therapy2 organizations share this tax ID, including this one
Part of
Trails Physical Therapy

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1922490895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 MURRAY PARK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203911",
            "telephone_number": "858-692-5835",
            "fax_number": "619-825-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 JACKSON DR STE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191515",
            "telephone_number": "858-692-5835",
            "fax_number": "619-825-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILS PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIT IN HOME PHYSICAL THERAPY LTD",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "858-692-5835",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20328",
            "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 Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.