SPORT, SPINE & ORTHOPEDIC
NPI 1043305824
Physical Therapist in San Luis Obispo, CA

Active since October 04, 2006
862 MEINECKE AVE, SUITE 101, SAN LUIS OBISPO, CA 93405(805) 541-4714(805) 541-4235 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sport, Spine & Orthopedic NPPES

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

SPORT, SPINE & ORTHOPEDIC (NPI 1043305824) is a healthcare organization registered as a physical therapist in San Luis Obispo, California and active in the NPI registry since October 2006. The organization lists Charles Edwin St Vincent, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1043305824
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameSPORT, SPINE & ORTHOPEDIC
Location Address862 MEINECKE AVE, SUITE 101San Luis Obispo, CA 93405-3702
Mailing Address862 Meinecke Ave, Suite 101San Luis Obispo, CA 93405-3702 · (805) 541-4717 · Fax (805) 541-4235
Fax(805) 541-4235
Organization SubpartNo
Authorized OfficialCharles Edwin St VincentOwner/physical Therapist · (805) 541-4717
Enumeration DateOctober 4, 2006
Last NPPES UpdateNovember 22, 2011
NPI 1043305824 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 · PT5452
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.
862 MEINECKE AVE, San Luis Obispo, CA 93405

Other Identifiers 1

Medicare ID-Type UnspecifiedW14874CA · Provider #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Physical Therapist
862 MEINECKE AVE, STE. 101
SAN LUIS OBISPO, CA 93405
Physical Therapist
862 MEINECKE AVE, SUITE 101
SAN LUIS OBISPO, CA 93405
Dentist (General Practice)
862 MEINECKE AVE, SUITE 200
SAN LUIS OBISPO, CA 93405
Orthopaedic Surgery
862 MEINECKE AVE, SUITE 100
SAN LUIS OBISPO, CA 93405
Podiatrist (Foot & Ankle Surgery)
862 MEINECKE AVE, SUITE 204
SAN LUIS OBISPO, CA 93405
Surgery
862 MEINECKE AVE, SUITE 202
SAN LUIS OBISPO, CA 93405
Orthopaedic Surgery
862 MEINECKE AVE, SUITE 100
SAN LUIS OBISPO, CA 93405
Physical Therapist
862 MEINECKE AVE, STE. 101
SAN LUIS OBISPO, CA 93405

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 Sport, Spine & Orthopedic's NPI number?

The NPI number for Sport, Spine & Orthopedic is 1043305824. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Sport, Spine & Orthopedic located?

Sport, Spine & Orthopedic is located at 862 Meinecke Ave Suite 101, San Luis Obispo, CA 93405. The listed phone number is (805) 541-4714.

What is Sport, Spine & Orthopedic's specialty?

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

When was this NPI record last updated?

The NPPES record for Sport, Spine & Orthopedic was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.