ACTIVERX PHYSICAL THERAPY (NPI# 1710207931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710207931 |
| Entity Type | Organization |
| Organization Name | ACTIVERX PHYSICAL THERAPY |
| Practice Address |
4765 Carmel Mountain Rd Suite 102 San Diego CA 92130-6657 |
| Practice Telephone | 8587055050 |
| Mailing Telephone | 8587055050 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-08-20 |
| Authorized Official Name | MICHELLE GUIDO (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8587050505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
28518 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4765 CARMEL MOUNTAIN RD SUITE 102 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-6657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913755 | James Donald Fontaine | Physical Medicine & Rehabilitation | 4765 Carmel Mountain Rd, 207b, San Diego, CA 92130-6657 | 2005-06-27 |
| 1033587589 | La Jolla Facial Plastic Surgery Inc | Otolaryngology | 4765 Carmel Mountain Rd, Suite 103, San Diego, CA 92130-6657 | 2015-09-14 |
| 1598167611 | Tasto and Tasto Partnership | Dentist | 4765 Carmel Mountain Rd, Suite #101, San Diego, CA 92130-6657 | 2014-09-19 |
| 1154551042 | Victor Chung | Otolaryngology | 4765 Carmel Mountain Rd, Ste 103, San Diego, CA 92130-6657 | 2009-07-25 |
| 1508023268 | Pooya A. Ataii, Md Inc. | Clinic/Center | 4765 Carmel Mountain Rd, Ste 207, San Diego, CA 92130-6657 | 2008-05-20 |
| 1568629210 | Pooya Alexander Ataii | Family Medicine | 4765 Carmel Mountain Rd, Ste 207, San Diego, CA 92130-6657 | 2008-05-20 |
| 1477734358 | Michelle Guido | Physical Therapist | 4765 Carmel Mountain Rd, Suite 102, San Diego, CA 92130 | 2007-11-19 |
| 1265627533 | Centre for Family Medicine Inc D/b/a Torrey Hills Family Medicine | Clinic/Center | 4765 Carmel Mountain Rd, Suite 206, San Diego, CA 92130-6657 | 2007-09-10 |
| 1215152038 | Alayna Joy Henderson | Physical Therapy Assistant | 4765 Carmel Mountain Rd, San Diego, CA 92130-6657 | 2007-04-16 |
| 1689708380 | K. Ardjmand, D.d.s., Inc. | Dentist | 4765 Carmel Mountain Rd, Suite 208, San Diego, CA 92130-6657 | 2007-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969143 | Amber Renee Debarge | Physical Medicine & Rehabilitation | 2918 Havasupai Ave, San Diego, CA 92117-1641 | 2020-03-28 |
| 1275165979 | Coastal Regenerative Orthopedics & Wellness Center Inc. | Physical Medicine & Rehabilitation | 11772 Sorrento Valley Rd Ste 100, San Diego, CA 92121-1016 | 2020-02-10 |
| 1417460338 | Tyler Nguyen | Physical Medicine & Rehabilitation | 6356 Mesita Dr, San Diego, CA 92115-2529 | 2017-11-14 |
| 1780077230 | Cpms Medical Group | Physical Medicine & Rehabilitation | 4510 Executive Dr Ste 210, San Diego, CA 92121-3023 | 2015-03-09 |
| 1154433704 | Robert E Scott Jr. | Physical Medicine & Rehabilitation | 6719 Alvarado Rd Ste 200, San Diego, CA 92120-5256 | 2006-08-31 |
| 1992311690 | Matthew Friedman | Physical Medicine & Rehabilitation | 12625 High Bluff Dr Ste 105, San Diego, CA 92130-2053 | 2020-09-17 |
| 1639712433 | Mary Foster | Physical Medicine & Rehabilitation | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2019-10-24 |
| 1336256650 | Geraldine Kuo | Physical Medicine & Rehabilitation | 3350 La Jolla Village Dr, Mail Code 117, San Diego, CA 92161-0002 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578186 | Tracy Tran Physical Therapy | Physical Medicine & Rehabilitation | 5166 Eagle Rock Blvd, Los Angeles, CA 90041-1115 | 2020-08-16 |
| 1932734969 | Jasmine Angelina Velasquez | Physical Medicine & Rehabilitation | 12017 Herbert St, Los Angeles, CA 90066-5201 | 2020-03-10 |
| 1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
| 1841831864 | Olivia Carmen Smith | Physical Medicine & Rehabilitation | 2439 Country Club Dr, Glendora, CA 91741-4009 | 2019-10-01 |
| 1538719521 | Kyle Watry | Physical Medicine & Rehabilitation | 550 15th St Ste 36a, San Francisco, CA 94103-5032 | 2019-09-12 |
| 1023679826 | Adrianna Medina | Physical Medicine & Rehabilitation | 279 E Orlando Way, Covina, CA 91723-3016 | 2019-06-24 |
| 1316505563 | Restore The Machine - Physical Therapy Inc | Physical Medicine & Rehabilitation | 23332 Hawthorne Blvd Ste 202, Torrance, CA 90505-3767 | 2019-06-03 |
| 1881163889 | Gaylen Mcginn | Physical Medicine & Rehabilitation | 724 W Maple Ave Apt A, Orange, CA 92868-5022 | 2018-11-19 |
| 1326532417 | Nicolas Simo | Physical Medicine & Rehabilitation | 742 Bonnie Claire Dr, Walnut, CA 91789-4185 | 2018-06-21 |
| 1922591155 | Rahul Yogee Katbamna | Physical Medicine & Rehabilitation | 15 Lynnfield, Irvine, CA 92620-1987 | 2018-06-12 |
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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.