Proactive Physical Therapy & Sports Medicine Inc - Medicare in Carlsbad, CA

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Proactive Physical Therapy & Sports Medicine Inc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Carlsbad, California. Their current practice location is 6070 Avenida Encinas, Carlsbad, California. You can reach out to their office (for appointments etc.) via phone at (760) 444-0102.

Proactive Physical Therapy & Sports Medicine Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Proactive Physical Therapy & Sports Medicine Inc 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 1285729509.

Contact Information

Proactive Physical Therapy & Sports Medicine Inc
6070 Avenida Encinas,
Carlsbad, CA 92011-1001
(760) 444-0102
(760) 688-3131

Map and Direction




Healthcare Provider's Profile

Full NameProactive Physical Therapy & Sports Medicine Inc
TypeFacility
SpecialityClinic/center - Physical Therapy
Location6070 Avenida Encinas, Carlsbad, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285729509
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 03/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557369436
  • Enrollment ID: O20061201000533

Medical Identifiers

Medical identifiers for Proactive Physical Therapy & Sports Medicine Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285729509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251S0007XPhysical Therapist - Sports (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Proactive Physical Therapy & Sports Medicine Inc acts as a billing entity for following providers:
Provider NameLeslie M Aoto
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225090483
PECOS PAC ID: 3476446105
Enrollment ID: I20040205000708
Provider NameJonathan R Jaro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306896717
PECOS PAC ID: 1456340611
Enrollment ID: I20040511001717
Provider NameJoshua M Telsey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396843587
PECOS PAC ID: 9234161282
Enrollment ID: I20050909000958
Provider NameMary P Hall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154330496
PECOS PAC ID: 4789609967
Enrollment ID: I20051007000539
Provider NameMaria Ella A Camacho Valj
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740375062
PECOS PAC ID: 0345248233
Enrollment ID: I20061201000548
Provider NameAmyn Valji
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225123532
PECOS PAC ID: 9436157310
Enrollment ID: I20070201000390
Provider NameWilliam A Kosik
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083662456
PECOS PAC ID: 9931295870
Enrollment ID: I20071023000546
Provider NameBryan J Strople
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790931350
PECOS PAC ID: 9739255035
Enrollment ID: I20080911000139
Provider NameNicole Anderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700051307
PECOS PAC ID: 7416015656
Enrollment ID: I20081017000009
Provider NameShayna A Slater
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770730673
PECOS PAC ID: 2365502887
Enrollment ID: I20081113000455
Provider NameKimberly M Mckinstry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164623187
PECOS PAC ID: 9830236983
Enrollment ID: I20091022000608
Provider NameKatherine Marie Addis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295032290
PECOS PAC ID: 6507042504
Enrollment ID: I20110509000350
Provider NameAmanda L Peeler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568750438
PECOS PAC ID: 5799955258
Enrollment ID: I20110819000483
Provider NameYiju Kuo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1245532613
PECOS PAC ID: 8628249232
Enrollment ID: I20110912000200
Provider NameMaria Elena Mejia-o'neill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326022435
PECOS PAC ID: 9133395221
Enrollment ID: I20111220000204
Provider NameRisha Amin Strople
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629234414
PECOS PAC ID: 8224184627
Enrollment ID: I20120807000636
Provider NameAmber L Calderon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043457708
PECOS PAC ID: 4486803061
Enrollment ID: I20120926000450
Provider NameAmanda Rogers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891031662
PECOS PAC ID: 0840443289
Enrollment ID: I20130114000442
Provider NameEdan M Devora
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205141074
PECOS PAC ID: 8224274618
Enrollment ID: I20130409000042
Provider NameGlen V Beato
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265557334
PECOS PAC ID: 0042533903
Enrollment ID: I20141229001169
Provider NameEileen H Porter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770631160
PECOS PAC ID: 4587988282
Enrollment ID: I20150129001638
Provider NameTimothy D Lewis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053719716
PECOS PAC ID: 6507185444
Enrollment ID: I20150428000546
Provider NameAaron M Platfoot
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972971141
PECOS PAC ID: 4385952423
Enrollment ID: I20151009000013
Provider NameJason K Hooper
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699158022
PECOS PAC ID: 4688983869
Enrollment ID: I20151029001418
Provider NameMarie Zuniga
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356718589
PECOS PAC ID: 2365752003
Enrollment ID: I20151109000515
Provider NameAlberto Pesqueira
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902227440
PECOS PAC ID: 5294037743
Enrollment ID: I20151230001399
Provider NameDonovan R Curtis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669847679
PECOS PAC ID: 1759685969
Enrollment ID: I20160209001744
Provider NameStephanie Clements
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184099608
PECOS PAC ID: 1658676747
Enrollment ID: I20160229000139
Provider NameJennifer Lee Sharpe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437494721
PECOS PAC ID: 4284889320
Enrollment ID: I20160318002203
Provider NameDawn Hageman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437505070
PECOS PAC ID: 0143516328
Enrollment ID: I20160914002308
Provider NameNathan A Kindstrand
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205224938
PECOS PAC ID: 6608163290
Enrollment ID: I20160926001412
Provider NameStacy A Pensinger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386193647
PECOS PAC ID: 2567740160
Enrollment ID: I20161102002202
Provider NameMelissa Parsons
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588957229
PECOS PAC ID: 3870762701
Enrollment ID: I20161121001313
Provider NameEmily Anne Smith
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1417337403
PECOS PAC ID: 1153695283
Enrollment ID: I20170927003986
Provider NameChelsea Ann Saville
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295253839
PECOS PAC ID: 7911265087
Enrollment ID: I20171218003547
Provider NameTravis Hutchinson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760982672
PECOS PAC ID: 0244592814
Enrollment ID: I20180319001503
Provider NameJonathan R Cabral
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780184416
PECOS PAC ID: 1254694359
Enrollment ID: I20180423002317
Provider NameAmanda Joy Kaiser Fillmore
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1588166227
PECOS PAC ID: 6204181951
Enrollment ID: I20180620001927
Provider NameRobert J Quan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255810792
PECOS PAC ID: 6608128681
Enrollment ID: I20181003001434
Provider NameJessica A R Ocampo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437716065
PECOS PAC ID: 3870828064
Enrollment ID: I20190710002183
Provider NameErin Bo Rasmussen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1508332834
PECOS PAC ID: 3072842004
Enrollment ID: I20190917000482
Provider NameNicholas David Lacey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639638984
PECOS PAC ID: 6507196466
Enrollment ID: I20190919002509
Provider NameKatia N Correa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831744036
PECOS PAC ID: 4284965674
Enrollment ID: I20191016002317
Provider NameLuke Mathison
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811442064
PECOS PAC ID: 2860788486
Enrollment ID: I20191114001402
Provider NameJordan Savage
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285267302
PECOS PAC ID: 6709213747
Enrollment ID: I20200303002306
Provider NameDavid Carmelo De Leon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013575984
PECOS PAC ID: 1557699782
Enrollment ID: I20200413001623
Provider NameKatrina Hagewood
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043826670
PECOS PAC ID: 8729407796
Enrollment ID: I20200925000401
Provider NameJayson Caalaman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063026243
PECOS PAC ID: 6901216407
Enrollment ID: I20201112002210
Provider NameArianna L Martinez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932713823
PECOS PAC ID: 5890107312
Enrollment ID: I20201207001952
Provider NameCarina Marie Huynh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326635855
PECOS PAC ID: 3072926971
Enrollment ID: I20210114001686
Provider NameAnn Marie Herring Tullock
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144798281
PECOS PAC ID: 0840535308
Enrollment ID: I20210125002573
Provider NameJose Israel Flores
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669063665
PECOS PAC ID: 7911313739
Enrollment ID: I20210302003005
Provider NameAndrea Lida Jimenez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407440670
PECOS PAC ID: 4183031099
Enrollment ID: I20210319002045
Provider NameMichael Cannady
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174103287
PECOS PAC ID: 2668880972
Enrollment ID: I20210426000741
Provider NameJina Oliphant
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558034074
PECOS PAC ID: 6608272604
Enrollment ID: I20210830003246
Provider NameErin E Kiley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386311603
PECOS PAC ID: 4486050945
Enrollment ID: I20210908002727
Provider NameJimmy Bo Duong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891462669
PECOS PAC ID: 5799181269
Enrollment ID: I20210908003045
Provider NamePadmini Jadeja
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699438721
PECOS PAC ID: 4880083401
Enrollment ID: I20211119000171
Provider NameMorgan Engelmann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902562523
PECOS PAC ID: 2365831286
Enrollment ID: I20220208002239
Provider NameRachel Katherine Lipari
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1578129904
PECOS PAC ID: 2466848676
Enrollment ID: I20220414001910
Provider NameBryan A Rahter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821510199
PECOS PAC ID: 0547657421
Enrollment ID: I20220422001501
Provider NameAlyssa Nicole Burkitt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528796133
PECOS PAC ID: 4082098827
Enrollment ID: I20220829002138
Provider NameMorgan Katherine Kurtz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346994365
PECOS PAC ID: 3072981208
Enrollment ID: I20221121000164
Provider NameKayla Baldwin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558777623
PECOS PAC ID: 5395964167
Enrollment ID: I20230124001646
Provider NameDevin Summer Rossie
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942908124
PECOS PAC ID: 5890160659
Enrollment ID: I20230407001673
Provider NameKristin M Armstrong
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1740698273
PECOS PAC ID: 9032574975
Enrollment ID: I20230428002072
Provider NameSapna Patel Nagdev
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528006160
PECOS PAC ID: 3274990536
Enrollment ID: I20230601002515
Provider NameAimee Chua
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1528535747
PECOS PAC ID: 3476890435
Enrollment ID: I20230606002030
Provider NameEmily Ann Morgan-arnold
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619653300
PECOS PAC ID: 9234590043
Enrollment ID: I20230726002267
Provider NameNigell Reyes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609421460
PECOS PAC ID: 6305279431
Enrollment ID: I20230824002772
Provider NameJared Lyons
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942935531
PECOS PAC ID: 4587046784
Enrollment ID: I20230829000508
Provider NameChloe Michelle Belisle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336810316
PECOS PAC ID: 6507220787
Enrollment ID: I20230907001469
Provider NameDavid H Vu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003694563
PECOS PAC ID: 5991159436
Enrollment ID: I20231002002566
Provider NameRaymond Chung Poon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790558849
PECOS PAC ID: 9537511589
Enrollment ID: I20240116001983
Provider NameKavon Samet Shirvani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912760562
PECOS PAC ID: 0840635330
Enrollment ID: I20240223001957

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. Proactive Physical Therapy & Sports Medicine Inc 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
Proactive Physical Therapy & Sports Medicine Inc
6070 Avenida Encinas,
Carlsbad, CA 92011-1001

Ph: (760) 444-0102		Proactive Physical Therapy & Sports Medicine Inc
6070 Avenida Encinas,
Carlsbad, CA 92011-1001

Ph: (760) 444-0102

Reviews and Comments



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.