CATALYST PHYSICAL THERAPY & WELLNESS, INC. (NPI# 1124456868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124456868 |
| Entity Type | Organization |
| Organization Name | CATALYST PHYSICAL THERAPY & WELLNESS, INC. |
| Practice Address |
1333 Camino Del Rio S Ste 103 San Diego CA 92108-3520 |
| Practice Telephone | 6195012195 |
| Mailing Telephone | 6195012195 |
| Mailing Fax Number | 6195012176 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | BRIAN WILSON (PRESIDENT) |
| Authorized Official Telephone | 8587528423 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT 33609 | CA | Ambulatory Health Care Facilities |
| Street Address |
1333 CAMINO DEL RIO S STE 103 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536279 | Kiran Aulakh | Acupuncturist | 1333 Camino Del Rio S Ste 103, San Diego, CA 92108-3520 | 2020-01-03 |
| 1639720881 | Christopher Hill | Physical Medicine & Rehabilitation | 1333 Camino Del Rio S Ste 103, San Diego, CA 92108-3520 | 2019-09-27 |
| 1881241909 | Natalie Ann Dib | Physical Medicine & Rehabilitation | 1333 Camino Del Rio S Ste 103, San Diego, CA 92108-3520 | 2019-08-22 |
| 1376060400 | Melissa Korsmeyer | Physical Therapist | 1333 Camino Del Rio S Ste 103, San Diego, CA 92108-3520 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1972163426 | Digital Health Physical Therapy Corp | Clinic/Center | 225 Broadway Ste 300, San Diego, CA 92101-5010 | 2019-06-17 |
| 1750842829 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 16925 Hierba Dr, San Diego, CA 92128-2688 | 2019-03-29 |
| 1285126599 | Mel's Physical Therapy, Inc. | Clinic/Center | 5621 Dwight St, San Diego, CA 92105-3843 | 2018-06-01 |
| 1215424213 | New Phyzio Physical Therapy, PC | Clinic/Center | 10801 Thornmint Rd Ste 250, San Diego, CA 92127-2421 | 2018-04-16 |
| 1578082319 | Therapy South, PC | Clinic/Center | 4850 Coronado Ave, San Diego, CA 92107-3316 | 2017-09-13 |
| 1194241679 | Carter Ryan Phillips | Clinic/Center | 3535 General Atomics Ct, San Diego, CA 92121-1140 | 2017-08-16 |
| 1073968582 | Neurotrace | Clinic/Center | 4611 Virginia Ave, San Diego, CA 92115-4130 | 2016-05-03 |
| 1639574189 | Functional Capacity Interventions | Clinic/Center | 4947 Twain Ave, San Diego, CA 92120-4217 | 2014-10-27 |
| 1639573116 | Restoration Physical Therapy | Clinic/Center | 870 Diamond St Apt 105, San Diego, CA 92109-2557 | 2014-10-13 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.