SAN LUIS PHYSICAL THERAPY & ORTHOPEDIC REHABILITATION INC
NPI 1114719259
Clinic/Center - Physical Therapy in San Luis Obispo, CA

Active since May 22, 2025
1428 PHILLIPS LN STE B3&B5, SAN LUIS OBISPO, CA 93401(805) 269-6402(888) 909-5102 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 28, 2026, May 22, 2025 (2 updates tracked since 2025).

  • Organization
  • Clinic/Center
  • Physical Therapy

About SAN LUIS PHYSICAL THERAPY & ORTHOPEDIC REHABILITATION INC

This page provides the complete NPI Profile along with additional information for San Luis Physical Therapy & Orthopedic Rehabilitation Inc, a provider established in San Luis Obispo, California operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1114719259 assigned on May 2025. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kelly Marie Sanders (President)

NPI
1114719259 Verify this NPI
Provider Name
SAN LUIS PHYSICAL THERAPY & ORTHOPEDIC REHABILITATION INC
Entity Type
Organization
Location Address
1428 PHILLIPS LN STE B3&B5 SAN LUIS OBISPO, CA 93401
Location Phone
(805) 269-6402
Location Fax
(888) 909-5102
Mailing Address
408 HIGUERA ST STE 200 SAN LUIS OBISPO, CA 93401
Mailing Phone
(805) 788-0805
Mailing Fax
(805) 788-0845
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2025
Last Update Date
05-28-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLY MARIE SANDERS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(805) 788-0805

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114719259, enumerated as an "organization" on May 22, 2025.

The provider is located at 1428 PHILLIPS LN STE B3&B5 SAN LUIS OBISPO, CA 93401 and the phone number is (805) 269-6402.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.