MIZUTA & ASSOCIATES PHYSICAL THERAPY, INC. (NPI# 1376783076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376783076 |
| Entity Type | Organization |
| Organization Name | MIZUTA & ASSOCIATES PHYSICAL THERAPY, INC. |
| Other Organization Name | MIZUTA & ASSOCIATES PHYSICAL THERAPY |
| Practice Address |
2555 Camino Del Rio S Ste 102 San Diego CA 92108-3704 |
| Mailing Address |
8281 Polizzi Pl San Diego CA 92123-3830 |
| Practice Telephone | 6195998292 |
| Practice Fax Number | 6195998292 |
| Mailing Telephone | 8044756853 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |
| Authorized Official Name | DR. ERICKA CRAFT MIZUTA (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 6195998292 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
29228 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Mizuta & Associates Physical Therapy | Doing Business As Name - Organization |
| Street Address |
2555 CAMINO DEL RIO S STE 102 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932218567 | Ericka Craft Mizuta | Physical Therapist | 2555 Camino Del Rio S Ste 102, San Diego, CA 92108-3704 | 2006-08-29 |
| 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 | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1710532726 | Katherine Dever Jones | Physical Therapist | 7625 Mesa College Dr # 101a, San Diego, CA 92111-5343 | 2019-08-06 |
| 1437711082 | Garrett Kale | Physical Therapist | 9333 Genesee Ave # 350a, San Diego, CA 92121-2111 | 2019-07-03 |
| 1467946921 | Meredith Claire Haeuptle | Physical Therapist | 7625 Mesa College Dr Ste 101a, San Diego, CA 92111-5343 | 2018-06-19 |
| 1407362650 | Chelsea Boomer | Physical Therapist | 6475 Alvarado Rd Ste 118, San Diego, CA 92120-5007 | 2017-12-26 |
| 1679018675 | Julie Woolridge | Physical Therapist | 295 G Street, San Diego, CA 92101-4633 | 2016-12-29 |
| 1710351747 | Jonathan Pe | Physical Therapist | 18109 Smokesignal Dr, San Diego, CA 92127-3108 | 2015-11-13 |
| 1801295332 | Julie Guerin | Physical Therapist | 17860 Main, San Diego, CA 92177-7860 | 2014-08-20 |
| 1811330400 | Keith Mahler Physical Therapist & Associates | Physical Therapist | 7801 Mission Center Ct Ste 430, San Diego, CA 92108-1332 | 2013-04-12 |
| 1720337660 | Jenna Marie Kempf | Physical Therapist | 2555 Camino Del Rio South, 102, San Diego, CA 92108 | 2012-09-06 |
| 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.