Organization Active NPI

American Specialty Physical Medicine, Inc.

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1992326730
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AMERICAN SPECIALTY PHYSICAL MEDICINE, INC.
Practice address
10221 Wateridge Cir
San Diego, CA 92121-2702
Phone
(800) 848-3555
NPI assigned
May 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Robet White
Title
President, Coo
Phone
(800) 848-3555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

10221 Wateridge Cir
San Diego, CA 92121-2702

Mailing address

10221 Wateridge Cir
San Diego, CA 92121-2702
Phone (800) 848-3555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1992326730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 WATERIDGE CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212702",
            "telephone_number": "800-848-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 WATERIDGE CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212702",
            "telephone_number": "800-848-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SPECIALTY PHYSICAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROBET",
        "authorized_official_title_or_position": "PRESIDENT, COO",
        "authorized_official_telephone_number": "800-848-3555"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 4, 2020; 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.