MR. PHAYSANE OUDOM D.P.T.
NPI 1265658405
Physical Therapist in La Mesa, CA

Active since April 17, 2007Accepts Medicare Assignment
73.62/100
CMS Quality Rating
7862 EL CAJON BLVD, LA MESA, CA 91941(619) 644-6452(619) 466-7528 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Phaysane Oudom D.p.t. NPPES

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

MR. PHAYSANE OUDOM D.P.T. (NPI 1265658405) is an individual physical therapist in La Mesa, California, licensed in California (PT 32527) and active in the NPI registry since April 2007. He is a graduate of Other (2005).

NPPES Registry Identity

NPI1265658405
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. PHAYSANE OUDOMCredential: D.P.T.
Location Address7862 EL CAJON BLVDLa Mesa, CA 91941-3625
Mailing Address6529 Reflection Dr Apt 114San Diego, CA 92124-3174
Fax(619) 466-7528
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1265658405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · PT 32527
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
7862 EL CAJON BLVD, La Mesa, CA 91941

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Phaysane Oudom D.p.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901149681
PECOS Enrollment IDI20190521001059

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
200 services32 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91941 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Other Providers at the Same Location NPPES 6

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

Physical Therapist
7862 EL CAJON BLVD
LA MESA, CA 91941
Physical Therapist
7862 EL CAJON BLVD
LA MESA, CA 91941
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
7862 EL CAJON BLVD
LA MESA, CA 91941
Physical Therapist
7862 EL CAJON BLVD
LA MESA, CA 91941
Physical Therapist (Neurology)
7862 EL CAJON BLVD
LA MESA, CA 91941
Physical Therapy Assistant
7862 EL CAJON BLVD
LA MESA, CA 91941

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 Phaysane Oudom's NPI number?

The NPI number for Phaysane Oudom is 1265658405. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Phaysane Oudom located?

Phaysane Oudom practices at 7862 El Cajon Blvd, La Mesa, CA 91941. The listed phone number is (619) 644-6452.

What is Phaysane Oudom's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Phaysane Oudom enrolled in Medicare?

Yes. Phaysane Oudom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Phaysane Oudom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.