INNISS PHYSICAL THERAPY, A PROFESSIONAL CORPORATION (NPI# 1568519114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568519114 |
Entity Type | Organization |
Organization Name | INNISS PHYSICAL THERAPY, A PROFESSIONAL CORPORATION |
Practice Address |
6475 Alvarado Rd #118 San Diego CA 92120-5003 |
Practice Telephone | 6192874678 |
Practice Fax Number | 6192870350 |
Mailing Telephone | 6192874678 |
Mailing Fax Number | 6192870350 |
Enumeration Date | 2007-01-05 |
Last Update Date | 2014-08-14 |
Authorized Official Name | MR. BRUCE BOSWELL INNISS (OWNER, PHYSICAL THERAPIST) |
Authorized Official Telephone | 6192874678 |
Authorized Official Credential | RPT, OCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
6475 ALVARADO RD #118 |
City | SAN DIEGO |
State | CA |
Zip Code | 92120-5003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356312383 | Susan Patricia Munsey | Social Worker | 6475 Alvarado Rd, San Diego, CA 92120-5013 | 2006-01-28 |
1750687158 | Emily Louise Thurston | Registered Nurse | 6475 Alvarado Rd, Ste 120, San Diego, CA 92120-5003 | 2011-02-01 |
1346572807 | Aimee Marie Yager | Nurse Practitioner | 6475 Alvarado Rd, San Diego, CA 92120-5003 | 2010-02-09 |
1922244383 | Joel M. Snyder Md, A Medical Corporation | Pediatrics | 6475 Alvarado Rd, Suite 120, San Diego, CA 92120-5003 | 2009-01-06 |
1962619411 | Sarah Eileen Johnson | Physical Therapist | 6475 Alvarado Rd, Suite 118, San Diego, CA 92120-5003 | 2007-05-16 |
1124152723 | Patricia Michelle Hornbrook | Marriage & Family Therapist | 6475 Alvarado Rd, Suite #233, San Diego, CA 92120-5003 | 2007-03-15 |
1841323458 | Daniel Scott Perry | Dentist | 6475 Alvarado Rd, Suite 205, San Diego, CA 92120-5003 | 2007-03-13 |
1427109263 | Colette Mary Wall | Physical Therapist | 6475 Alvarado Rd, 118, San Diego, CA 92120-5003 | 2007-01-16 |
1417004243 | Bruce Boswell Inniss | Physical Therapist | 6475 Alvarado Rd, #118, San Diego, CA 92120-5003 | 2007-01-04 |
1538226196 | Leah Ashton Inniss | Physical Therapist | 6475 Alvarado Rd, #118, San Diego, CA 92120-5003 | 2007-01-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
Find all providers in zip 92120 |
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 |
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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.