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NPI 1003781980

NPI 1003781980 : NCEPT DIAGNOSTICS AND PHYSICAL THERAPY SERVICES PC : ESCONDIDO, CA

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General NPI Number Information
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    NPI Number           |    1003781980
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    Entity Type          |    Organization 
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    Legal Business Name  |    NCEPT DIAGNOSTICS AND PHYSICAL THERAPY SERVICES PC 
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Dates
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    Enumeration Date     |    10/09/2025
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    Last Update Date     |    10/09/2025
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Provider Practice Location Address
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    Address Line         |    457 N ELM ST 
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    City                 |    ESCONDIDO
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    State                |    CA
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    Zip                  |    92025-3001
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    Country              |    US
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    Telephone            |    760-489-1969
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    Fax                  |    760-489-5226
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Provider Business Mailing Address
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    Address Line         |    457 N ELM ST 
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    City                 |    ESCONDIDO
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    State                |    CA
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    Zip                  |    92025-3001
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    Country              |    US
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    Telephone            |    760-489-1969
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    Fax                  |    760-489-5226
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SKYE  GRAYSON 
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    Credential           |    DPT
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    Telephone            |    760-489-1969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2251E1300X
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    Taxonomy Name        |    Clinical Electrophysiology Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    204R00000X
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    Taxonomy Name        |    Electrodiagnostic Medicine Physician
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    License Number       |    
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    License Number State |    
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