Individual provider Active NPI

Mary Leanne Compton, PT, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1942559109
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39100 Issued in CA
Practice address
2445 Truxtun Rd Ste 205
San Diego, CA 92106-6154
Phone
(619) 633-2119
Fax
(619) 633-2120
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 PT39100 CA Primary

Addresses

Primary practice location

2445 Truxtun Rd Ste 205
San Diego, CA 92106-6154

Mailing address

3896 Marlesta Dr
San Diego, CA 92111-3505
Phone (818) 355-2478

Other practice location 1

2751 Roosevelt Rd Ste 203
San Diego, CA 92106-6180
Phone (619) 501-9755

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

LicenseStateTypeSpecialty
39100CAMDGeneral Practice Dentistry
PT39100CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation 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.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1942559109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3896 MARLESTA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113505",
            "telephone_number": "818-355-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 TRUXTUN RD STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066154",
            "telephone_number": "619-633-2119",
            "fax_number": "619-633-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Roosevelt Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921066180",
            "country_code": "US",
            "telephone_number": "619-501-9755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "MARY",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39100",
            "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 Aug 3, 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.