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KIM TAKAYO ELLIOTT CTRS
NPI 1083470736
Recreation Therapist in San Diego, CA

Active since February 21, 2024
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161(619) 920-1807 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Takayo Elliott Ctrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM TAKAYO ELLIOTT CTRS (NPI 1083470736) is an individual recreation therapist in San Diego, California, licensed in California (33042) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1083470736
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameKIM TAKAYO ELLIOTTCredential: CTRS
Location Address3350 LA JOLLA VILLAGE DRSan Diego, CA 92161-0002
Mailing Address3350 La Jolla Village DrSan Diego, CA 92161-0002 · (619) 920-1807
Phone(619) 920-1807
Sole ProprietorYes
Enumeration DateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1083470736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in CA · 33042
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
3350 LA JOLLA VILLAGE DR, San Diego, CA 92161
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER ANNE FREIMUND M.D.
Internal Medicine (Geriatric Medicine)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-7475
MRS. LINDA REID HOLLAND PT
Physical Therapist
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-7487
DR. JONATHAN M MEYER M.D.
Psychiatry & Neurology (Psychiatry)
3350 LA JOLLA VILLAGE DR, 116-A
SAN DIEGO, CA 92161
San Diego County (858) 642-3570
ANDREW BISMARK
Psychologist (Clinical)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 245-5825
LORNA FRANCES DOUCETTE
Pharmacist (Psychiatric)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (828) 545-5072
MS. LISA ARAI PHARM.D.
Pharmacist (Psychiatric)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
HAYLEY MARIE HOWELLS MPT
Physical Therapist
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 642-3138
JOAN MARIE FITZGERALD RN, MSN, FNP
Nurse Practitioner (Family)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-8585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Elliott's NPI number?

The NPI number for Kim Elliott is 1083470736. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Where is Kim Elliott located?

Kim Elliott practices at 3350 La Jolla Village Dr, San Diego, CA 92161. The listed phone number is (619) 920-1807.

What is Kim Elliott's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Kim Elliott was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.