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MARY ELIZABETH MANDERSON PT
NPI 1083620082
Physical Therapist - Pediatrics in El Cajon, CA

Active since July 31, 2006
1246 E MAIN ST STE 109, EL CAJON, CA 92021(619) 441-1200(619) 441-1215 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Elizabeth Manderson Pt NPPES

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

MARY ELIZABETH MANDERSON PT (NPI 1083620082) is an individual pediatrics provider in El Cajon, California, licensed in California (15874) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1083620082
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMARY ELIZABETH MANDERSONCredential: PT
Location Address1246 E MAIN ST STE 109El Cajon, CA 92021-7206
Mailing Address120 Thrasher WayEl Cajon, CA 92020-2632 · (619) 469-0810
Phone(619) 441-1200
Fax(619) 441-1215
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateFebruary 28, 2018
✔ NPI 1083620082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in CA · 15874
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1246 E MAIN ST STE 109, El Cajon, CA 92021
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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 Mary Manderson's NPI number?

The NPI number for Mary Manderson is 1083620082. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Mary Manderson located?

Mary Manderson practices at 1246 E Main St Ste 109, El Cajon, CA 92021. The listed phone number is (619) 441-1200.

What is Mary Manderson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Mary Manderson was last updated on February 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.