BESPOKE SAN DIEGO PHYSICAL THERAPY PC (NPI# 1245847540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245847540 |
| Entity Type | Organization |
| Organization Name | BESPOKE SAN DIEGO PHYSICAL THERAPY PC |
| Practice Address |
2748 Ariane Dr Unit 141 San Diego CA 92117-3407 |
| Practice Telephone | 5092945289 |
| Practice Fax Number | 6463583443 |
| Mailing Telephone | 5092945289 |
| Mailing Fax Number | 6463583443 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | MATTHEW GUSKIN (DIRECTOR OF BILLING/COLLECTIONS) |
| Authorized Official Telephone | 6465967427 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
2748 ARIANE DR UNIT 141 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1124456868 | Catalyst Physical Therapy & Wellness, Inc. | Clinic/Center | 1333 Camino Del Rio S Ste 103, San Diego, CA 92108-3520 | 2013-10-16 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on BESPOKE SAN DIEGO PHYSICAL THERAPY PC.
| 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.