KATHRYN M AFFLECK, PT — NPI 1922026491 (Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers

CMS-1500 Box 24J / 33a • NPI

1922026491

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225100000X (CMS 65)

Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist

Box 32 Service Location & ZIP+4

4520 EXECUTIVE DR, STE 101, SAN DIEGO, CA, 92121-3023

✓ 9-Digit EDI 837 ZIP+4 (92121-3023)

Practice Phone & Referral Fax

(858) 535-1894

Fax: (858) 535-1894

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1922026491 (KATHRYN M AFFLECK, PT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1922026491` (NPI-1 Individual Practitioner)
Provider / Legal Name	KATHRYN M AFFLECK, PT
Plain-English Specialty	Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: `225100000X` (Physical Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4520 EXECUTIVE DR, STE 101, SAN DIEGO, CA, 92121-3023
Practice Telephone / Fax	Tel: (858) 535-1894 \| Fax: (858) 535-1894
Administrative Mailing Address	9850 GENESEE AVE, LA JOLLA, CA, 92037-1206
Enumeration & Last Sync	Enumerated: 2006-07-17 \| CMS Record Updated: 2025-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4520 EXECUTIVE DR, STE 101, SAN DIEGO, CA, 92121-3023

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Plain-English Taxonomy & CMS Crosswalk (225100000X)

What Does Taxonomy Code 225100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KATHRYN M AFFLECK, PT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: CA \| License: `PT16034` \| Primary: Yes (Primary)
`2251X0800X` — Physical Therapist, Orthopedic Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Orthopedic	State: CA \| License: `PT16034` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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KATHRYN M AFFLECK, PT (NPI #1922026491)