Individual provider Active NPI

Catherine Gillespie, MPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1972612596
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22830 Issued in CA
Practice address
11501 Rancho Beinardo Rd
Suite 100
San Diego, CA 92127-1404
Phone
(888) 485-6706
Fax
(888) 485-7052
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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 22830 CA Primary

Addresses

Primary practice location

11501 Rancho Beinardo Rd
Suite 100
San Diego, CA 92127-1404

Mailing address

317 N El Camino Real
Ste 405
Encinitas, CA 92024-2815
Phone (858) 300-8663

Other names 1

  • Catherine Grimlie Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215000299 CA Practitioner - Physical Therapist in Private Practice 0042277600 Reassigns benefits to 2 organizations
Practice locations: Poway, CA; San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Robert Afra MD a Professional CorporationGroup PAC ID 0042534208, 3 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

317 N El Camino Real
Suite 405
Encinitas, CA 92024-2815
Phone (760) 942-0565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22830CAMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Afra MD a Professional Corporation CurrentSince Jan 18, 2018 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Personally Fit Inc Physical Therapist PastSince Jan 18, 2021 Accepting new patients
Stac Physical Therapy Pfi, Inc Physical Therapist PastSince Feb 24, 2022 Accepting new patients

Locations

317 N El Camino Real
Ste 405
Encinitas, CA 92024
Phone (760) 942-0565

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

Organizations & group practices 4

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1972612596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL",
            "address_2": "STE 405",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242815",
            "telephone_number": "858-300-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 RANCHO BEINARDO RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271404",
            "telephone_number": "888-485-6706",
            "fax_number": "888-485-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "CATHERINE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "GRIMLIE",
            "credential": "MPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 18, 2018; 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.