Active NPI
Kelly Alazard
- Physical Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4635 Mission Gorge PL Ste B
San Diego, CA 92120-4145 - Phone
- (619) 501-9037
- NPI assigned
- May 5, 2022
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
4635 Mission Gorge PL Ste B
San Diego, CA 92120-4145
Mailing address
10151 Pinecastle St
San Diego, CA 92131-2291
Phone (858) 761-6748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220729000276 | CO | Practitioner - Physical Therapist in Private Practice | 8022490655 | Reassigns benefits to 1 organization |
| I20250915000145 | CA | Practitioner - Physical Therapist in Private Practice | 8022490655 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Southern California Keck School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Function for Life Physical Therapy Inc
Practice addresses (Care Compare)
4635 Mission Gorge PL
Suite B
San Diego, CA 92120-4145
Phone (619) 501-9037
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.24 of 100
- Quality
- 73.53
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 70.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Centers of Colorado, LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Physical Therapist | Current | Accepting new patients |
| Function for Life Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
3257 Camino de los Coches
Ste 301
Carlsbad, CA 92009
Phone (760) 652-5236
1084 N El Camino Real
#B351
Encinitas, CA 92024
1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134
145 Inverness Dr E
Ste 120
Englewood, CO 80112
Phone (303) 481-0620
8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998
Organizations & group practices 3
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.
-
- Physical Therapist
- Carlsbad, CA
- NPI 1568767309
CA, Physical Therapist
-
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
CO, Physical Therapist
-
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1336870856
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1972249738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10151 PINECASTLE ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921312291",
"telephone_number": "858-761-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4635 MISSION GORGE PL STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921204145",
"telephone_number": "619-501-9037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAZARD",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-05",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.