Organization Active NPI

Digital Health Physical Therapy Corp

  • Physical Therapy Clinic/Center
  • San Diego, CA
National Provider Identifier
1972163426
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DIGITAL HEALTH PHYSICAL THERAPY CORP
Practice address
225 Broadway Ste 300
San Diego, CA 92101-5010
Phone
(619) 566-7802
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Dr. Marc Mirisch, PT, DPT
Title
Owner
Phone
(805) 427-5495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

225 Broadway Ste 300
San Diego, CA 92101-5010

Mailing address

225 Broadway Ste 300
San Diego, CA 92101-5010
Phone (619) 566-7802

Other names 1

  • Digital Home Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

225 Broadway
Ste 300
San Diego, CA 92101
Phone (619) 566-7802

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1972163426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015010",
            "telephone_number": "619-566-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015010",
            "telephone_number": "619-566-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITAL HEALTH PHYSICAL THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "MIRISCH",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-427-5495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digital Home Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 2019; 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.