Active NPI
Andrew McWilliam, DPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1942063664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305363
- Practice address
- 17865 Caminito Pinero Unit 149
San Diego, CA 92128-4803 - Phone
- (858) 248-1174
- NPI assigned
- Feb 5, 2024
- Last updated
- Dec 19, 2024
- Sex
- Male
- 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 | 305363 | CA | Primary |
Addresses
Primary practice location
17865 Caminito Pinero Unit 149
San Diego, CA 92128-4803
Mailing address
17865 Caminito Pinero Unit 149
San Diego, CA 92128-4803
Phone (858) 248-1174
Other practice location 1
6451 El Camino Real Ste B2
Carlsbad, CA 92009-2800
Phone (858) 755-5200 ext. 12
Other practice location 2
2204 S El Camino Real Ste 225
Oceanside, CA 92054-6376
Phone (858) 755-5200 ext. 22
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1942063664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17865 CAMINITO PINERO UNIT 149",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284803",
"telephone_number": "858-248-1174",
"fax_number": "760-804-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17865 CAMINITO PINERO UNIT 149",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284803",
"telephone_number": "858-248-1174"
}
],
"practiceLocations": [
{
"address_1": "6451 El Camino Real Ste B2",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "CA",
"postal_code": "920092800",
"country_code": "US",
"telephone_number": "858-755-5200 x12",
"fax_number": "760-804-1400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2204 S El Camino Real Ste 225",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920546376",
"country_code": "US",
"telephone_number": "858-755-5200 x22",
"fax_number": "760-826-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCWILLIAM",
"first_name": "ANDREW",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-05",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305363",
"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 Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.