| Proactive Physical Therapy & Sports Medicine Inc | |
|
6070 Avenida Encinas, Carlsbad, CA 92011-1001 | |
| (760) 444-0102 | |
| (760) 688-3131 |
| Full Name | Proactive Physical Therapy & Sports Medicine Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 6070 Avenida Encinas, Carlsbad, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285729509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Leslie M Aoto |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225090483 PECOS PAC ID: 3476446105 Enrollment ID: I20040205000708 |
| Provider Name | Joshua M Telsey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396843587 PECOS PAC ID: 9234161282 Enrollment ID: I20050909000958 |
| Provider Name | Mary P Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154330496 PECOS PAC ID: 4789609967 Enrollment ID: I20051007000539 |
| Provider Name | Maria Ella A Camacho Valj |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740375062 PECOS PAC ID: 0345248233 Enrollment ID: I20061201000548 |
| Provider Name | Amyn Valji |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225123532 PECOS PAC ID: 9436157310 Enrollment ID: I20070201000390 |
| Provider Name | William A Kosik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083662456 PECOS PAC ID: 9931295870 Enrollment ID: I20071023000546 |
| Provider Name | Bryan J Strople |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790931350 PECOS PAC ID: 9739255035 Enrollment ID: I20080911000139 |
| Provider Name | Nicole Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700051307 PECOS PAC ID: 7416015656 Enrollment ID: I20081017000009 |
| Provider Name | Katherine Marie Addis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295032290 PECOS PAC ID: 6507042504 Enrollment ID: I20110509000350 |
| Provider Name | Yiju Kuo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245532613 PECOS PAC ID: 8628249232 Enrollment ID: I20110912000200 |
| Provider Name | Risha Amin Strople |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629234414 PECOS PAC ID: 8224184627 Enrollment ID: I20120807000636 |
| Provider Name | Amber L Calderon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043457708 PECOS PAC ID: 4486803061 Enrollment ID: I20120926000450 |
| Provider Name | Amanda Rogers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891031662 PECOS PAC ID: 0840443289 Enrollment ID: I20130114000442 |
| Provider Name | Edan M Devora |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205141074 PECOS PAC ID: 8224274618 Enrollment ID: I20130409000042 |
| Provider Name | Glen V Beato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265557334 PECOS PAC ID: 0042533903 Enrollment ID: I20141229001169 |
| Provider Name | Eileen H Porter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770631160 PECOS PAC ID: 4587988282 Enrollment ID: I20150129001638 |
| Provider Name | Aaron M Platfoot |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972971141 PECOS PAC ID: 4385952423 Enrollment ID: I20151009000013 |
| Provider Name | Marie Zuniga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356718589 PECOS PAC ID: 2365752003 Enrollment ID: I20151109000515 |
| Provider Name | Donovan R Curtis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669847679 PECOS PAC ID: 1759685969 Enrollment ID: I20160209001744 |
| Provider Name | Stephanie Clements |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184099608 PECOS PAC ID: 1658676747 Enrollment ID: I20160229000139 |
| Provider Name | Jennifer Lee Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437494721 PECOS PAC ID: 4284889320 Enrollment ID: I20160318002203 |
| Provider Name | Dawn Hageman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437505070 PECOS PAC ID: 0143516328 Enrollment ID: I20160914002308 |
| Provider Name | Nathan A Kindstrand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205224938 PECOS PAC ID: 6608163290 Enrollment ID: I20160926001412 |
| Provider Name | Stacy A Pensinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386193647 PECOS PAC ID: 2567740160 Enrollment ID: I20161102002202 |
| Provider Name | Alisha S Joshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770849531 PECOS PAC ID: 3375786460 Enrollment ID: I20170831003168 |
| Provider Name | Emily Anne Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417337403 PECOS PAC ID: 1153695283 Enrollment ID: I20170927003986 |
| Provider Name | Chelsea Ann Saville |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295253839 PECOS PAC ID: 7911265087 Enrollment ID: I20171218003547 |
| Provider Name | Travis Hutchinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760982672 PECOS PAC ID: 0244592814 Enrollment ID: I20180319001503 |
| Provider Name | Jonathan R Cabral |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780184416 PECOS PAC ID: 1254694359 Enrollment ID: I20180423002317 |
| Provider Name | Amanda Joy Kaiser Fillmore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588166227 PECOS PAC ID: 6204181951 Enrollment ID: I20180620001927 |
| Provider Name | Robert J Quan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255810792 PECOS PAC ID: 6608128681 Enrollment ID: I20181003001434 |
| Provider Name | Jessica A R Ocampo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437716065 PECOS PAC ID: 3870828064 Enrollment ID: I20190710002183 |
| Provider Name | Erin Bo Rasmussen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508332834 PECOS PAC ID: 3072842004 Enrollment ID: I20190917000482 |
| Provider Name | Nicholas David Lacey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639638984 PECOS PAC ID: 6507196466 Enrollment ID: I20190919002509 |
| Provider Name | Zachary Quinn Zimmerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679965875 PECOS PAC ID: 5991035255 Enrollment ID: I20190930001317 |
| Provider Name | Katia N Correa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831744036 PECOS PAC ID: 4284965674 Enrollment ID: I20191016002317 |
| Provider Name | Luke Mathison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811442064 PECOS PAC ID: 2860788486 Enrollment ID: I20191114001402 |
| Provider Name | Jordan Savage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285267302 PECOS PAC ID: 6709213747 Enrollment ID: I20200303002306 |
| Provider Name | David Carmelo De Leon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013575984 PECOS PAC ID: 1557699782 Enrollment ID: I20200413001623 |
| Provider Name | Jayson Caalaman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063026243 PECOS PAC ID: 6901216407 Enrollment ID: I20201112002210 |
| Provider Name | Arianna L Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932713823 PECOS PAC ID: 5890107312 Enrollment ID: I20201207001952 |
| Provider Name | Carina Marie Huynh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326635855 PECOS PAC ID: 3072926971 Enrollment ID: I20210114001686 |
| Provider Name | Ann Marie Herring Tullock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144798281 PECOS PAC ID: 0840535308 Enrollment ID: I20210125002573 |
| Provider Name | Jose Israel Flores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669063665 PECOS PAC ID: 7911313739 Enrollment ID: I20210302003005 |
| Provider Name | Andrea Lida Jimenez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407440670 PECOS PAC ID: 4183031099 Enrollment ID: I20210319002045 |
| Provider Name | Michael Cannady |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174103287 PECOS PAC ID: 2668880972 Enrollment ID: I20210426000741 |
| Provider Name | Lisette Salazar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194350744 PECOS PAC ID: 3072921303 Enrollment ID: I20210426001432 |
| Provider Name | Kyle Daniel Scheller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285309492 PECOS PAC ID: 6507261120 Enrollment ID: I20210819003798 |
| Provider Name | Jina Oliphant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558034074 PECOS PAC ID: 6608272604 Enrollment ID: I20210830003246 |
| Provider Name | Erin E Kiley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386311603 PECOS PAC ID: 4486050945 Enrollment ID: I20210908002727 |
| Provider Name | Jimmy Bo Duong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891462669 PECOS PAC ID: 5799181269 Enrollment ID: I20210908003045 |
| Provider Name | Padmini Jadeja |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699438721 PECOS PAC ID: 4880083401 Enrollment ID: I20211119000171 |
| Provider Name | Morgan Engelmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902562523 PECOS PAC ID: 2365831286 Enrollment ID: I20220208002239 |
| Provider Name | Rachel Katherine Lipari |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578129904 PECOS PAC ID: 2466848676 Enrollment ID: I20220414001910 |
| Provider Name | Bryan A Rahter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821510199 PECOS PAC ID: 0547657421 Enrollment ID: I20220422001501 |
| Provider Name | Lena Parker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215676523 PECOS PAC ID: 8426439944 Enrollment ID: I20220714003783 |
| Provider Name | Alyssa Nicole Burkitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528796133 PECOS PAC ID: 4082098827 Enrollment ID: I20220829002138 |
| Provider Name | Victor S Koo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912629387 PECOS PAC ID: 6709253800 Enrollment ID: I20221102001876 |
| Provider Name | Morgan Katherine Kurtz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346994365 PECOS PAC ID: 3072981208 Enrollment ID: I20221121000164 |
| Provider Name | Kayla Baldwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558777623 PECOS PAC ID: 5395964167 Enrollment ID: I20230124001646 |
| Provider Name | Devin Summer Rossie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942908124 PECOS PAC ID: 5890160659 Enrollment ID: I20230407001673 |
| Provider Name | Sapna Patel Nagdev |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528006160 PECOS PAC ID: 3274990536 Enrollment ID: I20230601002515 |
| Provider Name | Aimee Chua |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528535747 PECOS PAC ID: 3476890435 Enrollment ID: I20230606002030 |
| Provider Name | Emily Morgan-arnold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619653300 PECOS PAC ID: 9234590043 Enrollment ID: I20230726002267 |
| Provider Name | Nigell Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609421460 PECOS PAC ID: 6305279431 Enrollment ID: I20230824002772 |
| Provider Name | Jared Lyons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942935531 PECOS PAC ID: 4587046784 Enrollment ID: I20230829000508 |
| Provider Name | Chloe Michelle Belisle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336810316 PECOS PAC ID: 6507220787 Enrollment ID: I20230907001469 |
| Provider Name | Raymond Chung Poon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790558849 PECOS PAC ID: 9537511589 Enrollment ID: I20240116001983 |
| Provider Name | Kavon Samet Shirvani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912760562 PECOS PAC ID: 0840635330 Enrollment ID: I20240223001957 |
| Provider Name | Murphy Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508214743 PECOS PAC ID: 6305137977 Enrollment ID: I20240503002065 |
| Provider Name | Mitchell Anders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093564684 PECOS PAC ID: 1951844612 Enrollment ID: I20240621003538 |
| Provider Name | Mckenna Nicole Thibodeau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790521904 PECOS PAC ID: 8022557818 Enrollment ID: I20240823003766 |
| Provider Name | Jacob T Ogden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891525093 PECOS PAC ID: 8426597816 Enrollment ID: I20240829001690 |
| Provider Name | Devin Capela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245068477 PECOS PAC ID: 8628517984 Enrollment ID: I20240829004655 |
| Provider Name | Andrea Bickford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417400128 PECOS PAC ID: 2365828910 Enrollment ID: I20241004001664 |
| Provider Name | Gina Marie Gonsalves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164258927 PECOS PAC ID: 4981137429 Enrollment ID: I20241023001049 |
| Provider Name | Jacob Thomas Adam Brannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073329504 PECOS PAC ID: 8426584400 Enrollment ID: I20241213002562 |
| Provider Name | Khoa Vo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538996186 PECOS PAC ID: 7719413616 Enrollment ID: I20241213003548 |
| Provider Name | Matthew Elijah Ikeda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588488316 PECOS PAC ID: 3476080292 Enrollment ID: I20241218000936 |
| Provider Name | Arianna Genevieve Morse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528878659 PECOS PAC ID: 5991234536 Enrollment ID: I20250127000437 |
| Provider Name | Adviti Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154866416 PECOS PAC ID: 4880978212 Enrollment ID: I20250320002970 |
| Provider Name | Colleen Braun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023894417 PECOS PAC ID: 3274997580 Enrollment ID: I20250603003425 |
| Mailing Address | Practice 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 |