Individual provider Active NPI

Kelly Alazard

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1972249738
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jun 26, 2025

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 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, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 3678758489, 36 clinicians

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 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Function for Life Physical Therapy, Inc. Physical Therapist CurrentSince Jul 1, 2025 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.

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.

Verify at the official NPI Registry.