Abilities Pediatric Physical Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ABILITIES PEDIATRIC PHYSICAL THERAPY

Practice address

9409 Lake Murray Blvd Unit a
San Diego, CA 92119-1467

Phone

(619) 962-0316

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Coffroth, PT, DPTNPI 1053634584

Title

Owner

Phone

(619) 962-0316

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alicia Coffroth, DPT

  • Pediatric Physical Therapist
  • San Diego, CA
  • NPI 1053634584
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1922725662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 LAKE MURRAY BLVD UNIT E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191467",
            "telephone_number": "619-962-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 LAKE MURRAY BLVD UNIT A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191467",
            "telephone_number": "619-962-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITIES PEDIATRIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "COFFROTH",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-962-0316",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Abi-Nahed, DMD
• Abide Home Health Care Inc
• Abigail R. Hitchen, PSYD, Inc.
• Abigail's Medical Supply Inc
• Victoria Fontillas Abigania
• Ability BB San Diego LLC
• Ability Biomechanics Int'L Inc
• Ability Center
• Ability Home Health Services Inc
• Faten Abilmouna, PHARMD

• Early Intervention Provider Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.