- Medicare Physical Therapist in San Diego, CA

  1. Home
  2. Physical Therapists
  3. CA
  4. San Diego
is a medicare enrolled "Physical Therapist" provider in San Diego, California. Their current practice location is 2999 Mission Blvd, Suite 101, San Diego, California. You can reach out to their office (for appointments etc.) via phone at (858) 488-3597.

is licensed to practice in California (license number PT23900) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1699840934.

Contact Information

2999 Mission Blvd, Suite 101,
San Diego, CA 92109-8028
(858) 488-3597
(858) 488-3178

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPhysical Therapist
Location2999 Mission Blvd, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699840934
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 08/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2365433232
  • Enrollment ID: O20100519000835

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699840934NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT27239 (California)Secondary
225100000XPhysical Therapist PT23900 (California)Primary
225100000XPhysical Therapist PT20904 (California)Secondary
225700000XMassage Therapist (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameKahl Goldfarb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871669622
PECOS PAC ID: 9537150313
Enrollment ID: I20040520000680
Provider NameKrista M Consiglio-lahti
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376877803
PECOS PAC ID: 5597805937
Enrollment ID: I20091216000356
Provider NameSidjonn Regala
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629392824
PECOS PAC ID: 5294851010
Enrollment ID: I20100929000388
Provider NameKenneth Leung
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770879595
PECOS PAC ID: 5496925828
Enrollment ID: I20110823000275
Provider NameEmily A Richard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003100017
PECOS PAC ID: 9436303740
Enrollment ID: I20130213000251
Provider NameRandi Kinney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639410913
PECOS PAC ID: 3274778006
Enrollment ID: I20130328000118
Provider NameDavid Evans
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497180608
PECOS PAC ID: 3072736743
Enrollment ID: I20140527001559
Provider NameAshley C Maher
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598182230
PECOS PAC ID: 9931324480
Enrollment ID: I20140625002657
Provider NameKirsten Brown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386990943
PECOS PAC ID: 9931324340
Enrollment ID: I20140627000012
Provider NameAlyssa Quam
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801299276
PECOS PAC ID: 6800118837
Enrollment ID: I20141203000014
Provider NameScott Hacker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740671544
PECOS PAC ID: 7416275870
Enrollment ID: I20150415000007
Provider NameChelsea Clark
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427424878
PECOS PAC ID: 1951610971
Enrollment ID: I20151014001135
Provider NameMatthew Douglas Speciale
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336596543
PECOS PAC ID: 3072802628
Enrollment ID: I20160523000801
Provider NameBenjamin George Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285086876
PECOS PAC ID: 4688955776
Enrollment ID: I20170104000573
Provider NameCarter Phillips
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194241679
PECOS PAC ID: 8729344668
Enrollment ID: I20171109002848
Provider NameJonathan R Cabral
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780184416
PECOS PAC ID: 1254694359
Enrollment ID: I20180423002317
Provider NameGarrick Li
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629562509
PECOS PAC ID: 1658627542
Enrollment ID: I20180706002306
Provider NameRodney Steven Alford
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265922173
PECOS PAC ID: 4880944131
Enrollment ID: I20180906002078
Provider NameHeather Ann Schinnerer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386136661
PECOS PAC ID: 5799035200
Enrollment ID: I20180910000943
Provider NameMatthew Pilon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497220172
PECOS PAC ID: 8123372620
Enrollment ID: I20181120001741
Provider NameKevin Grayson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609332758
PECOS PAC ID: 2062751126
Enrollment ID: I20190307000594
Provider NameGregory R Banks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396299236
PECOS PAC ID: 6709169709
Enrollment ID: I20190822002821
Provider NameJenny Ross
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780231639
PECOS PAC ID: 2365875754
Enrollment ID: I20191125001567
Provider NameChristopher M Minnis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043740749
PECOS PAC ID: 0840623070
Enrollment ID: I20191202002481
Provider NameChristopher D Pascual
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093328064
PECOS PAC ID: 9032536339
Enrollment ID: I20200901002732
Provider NameMatthew R Friedman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992311690
PECOS PAC ID: 9931529146
Enrollment ID: I20201008002549
Provider NameHannah Sagan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063187391
PECOS PAC ID: 0345646634
Enrollment ID: I20210913001386
Provider NameKrista Roetcisoender
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356018170
PECOS PAC ID: 0143628032
Enrollment ID: I20211006003557
Provider NameLing Sun
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891441036
PECOS PAC ID: 9436543782
Enrollment ID: I20220302000972
Provider NameSalvatore Fantano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164182598
PECOS PAC ID: 5991199135
Enrollment ID: I20220303001478
Provider NameJudd Feiler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376057620
PECOS PAC ID: 6608262068
Enrollment ID: I20220412000742
Provider NameChris C Lai
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114700713
PECOS PAC ID: 2365896255
Enrollment ID: I20230926003410
Provider NameMadeleine Horner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407539547
PECOS PAC ID: 1951756337
Enrollment ID: I20231005001616
Provider NameStori Jo Stanaway
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154195626
PECOS PAC ID: 6103274337
Enrollment ID: I20231129001935
Provider NameBrittany Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942911896
PECOS PAC ID: 8224472709
Enrollment ID: I20240223001115
Provider NameEmma G Siu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588434278
PECOS PAC ID: 0547605404
Enrollment ID: I20240301000102
Provider NameJohan M Brandl Amundson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659137842
PECOS PAC ID: 5496193732
Enrollment ID: I20240404003123
Provider NameMichael Nobles
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073366233
PECOS PAC ID: 0547600488
Enrollment ID: I20240425003125
Provider NameRobert Avery
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518713676
PECOS PAC ID: 1951845478
Enrollment ID: I20240626000095
Provider NameEthan Z Kizziar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851133862
PECOS PAC ID: 0648716092
Enrollment ID: I20240723000382
Provider NameMckenzie Kehr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285471169
PECOS PAC ID: 4880132521
Enrollment ID: I20240813003505
Provider NameLily H Andres
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124867205
PECOS PAC ID: 3274071402
Enrollment ID: I20240819001979
Provider NamePaula Stonehouse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912744475
PECOS PAC ID: 4486195559
Enrollment ID: I20240917003939

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

3639 Midway Dr Ste B286,
San Diego, CA 92110-5254

Ph: (858) 488-3597
2999 Mission Blvd, Suite 101,
San Diego, CA 92109-8028

Ph: (858) 488-3597

Reviews and Comments


Physical Therapist in San Diego, CA

Carmen L Luk, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106
Phone: 760-209-4868    
Emily Richard, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3115 Ocean Front Walk, San Diego, CA 92109
Phone: 858-488-3597    Fax: 858-746-4041
Dr. Alona Mary Yacobovsky, DPT, CWS, COMT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8555 Station Village Ln Apt 3217, San Diego, CA 92108
Phone: 702-525-9299    
Sean S Mcintire, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121
Phone: 858-587-8669    Fax: 858-587-8675
Elena Hapke, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4094 4th Ave, San Diego, CA 92103
Phone: 619-515-2545    
Jon Garrelts,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 15004 Innovation Dr, San Diego, CA 92128
Phone: 858-605-7189    
Dobromira Andreeva Arsova, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6977 Navajo Rd # 445, San Diego, CA 92119
Phone: 858-848-9917    Fax: 858-987-8653

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.