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SPORTS ARENA PHYSICAL THERAPY
NPI 1104917095
Specialist in San Diego, CA

Active since September 27, 2006
4120 WEST POINT LOMA BLVD, SAN DIEGO, CA 92110(619) 226-4131(619) 226-4124 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sports Arena Physical Therapy NPPES

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

SPORTS ARENA PHYSICAL THERAPY (NPI 1104917095) is a healthcare organization registered as a specialist in San Diego, California and active in the NPI registry since September 2006. The organization lists Mary Lydia Engles, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1104917095
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMARY LYDIA ENGLES
Location Address4120 WEST POINT LOMA BLVDSan Diego, CA 92110-5605
Mailing Address4120 West Point Loma BlvdSan Diego, CA 92110-5605 · (619) 226-4131 · Fax (619) 226-4124
Phone(619) 226-4131
Fax(619) 226-4124
Organization SubpartNo
Authorized OfficialMary Lydia EnglesOwner/operator · (619) 226-4131
Enumeration DateSeptember 27, 2006
Last NPPES UpdateMay 7, 2012
✔ NPI 1104917095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · PT6252
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4120 WEST POINT LOMA BLVD, San Diego, CA 92110
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Other Names 1

Doing Business AsSports Arena Physical Therapy

Other Identifiers 1

Medicare ID-Type UnspecifiedPT6256CA · Provider Number

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

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

LINDA JOYCE CHRISTENSEN PT
Specialist
4120 WEST POINT LOMA BLVD
SAN DIEGO, CA 92110
San Diego County (619) 297-2544

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 Lydia Engles's NPI number?

The NPI number for Mary Lydia Engles is 1104917095. It was assigned to this organization in the NPPES registry on September 27, 2006. The provider is doing business as Sports Arena Physical Therapy.

Where is Mary Lydia Engles located?

Mary Lydia Engles is located at 4120 West Point Loma Blvd, San Diego, CA 92110. The listed phone number is (619) 226-4131.

What is Mary Lydia Engles's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mary Lydia Engles was last updated on May 7, 2012. 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.