SALVATORE FANTANO PT, DPT
NPI 1164182598
Physical Therapist in San Diego, CA

Active since December 27, 2021Accepts Medicare Assignment
12395 EL CAMINO REAL STE 111, SAN DIEGO, CA 92130(858) 724-0392 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Salvatore Fantano Pt, Dpt NPPES

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

SALVATORE FANTANO PT, DPT (NPI 1164182598) is an individual physical therapist in San Diego, California, licensed in California (PT301422) and active in the NPI registry since December 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1164182598
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSALVATORE FANTANOCredential: PT, DPT
Location Address12395 EL CAMINO REAL STE 111San Diego, CA 92130-3083
Mailing Address12286 Creekside CtSan Diego, CA 92131-1552 · (480) 467-9643
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 27, 2021
NPPES CertifiedDecember 27, 2021
✔ NPI 1164182598 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 · PT301422
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.
12395 EL CAMINO REAL STE 111, San Diego, CA 92130

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Salvatore Fantano Pt, Dpt 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 ID5991199135
PECOS Enrollment IDI20220303001478

Medicare Billing Reassignment

Medicare enrollment records show Salvatore Fantano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
2999 MISSION BLVD, SUITE 101
San Diego, CA 92109
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
2,066 services98 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,447 services98 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
986 services89 patients
Biofeedback training 90901
Biofeedback training is a technique that helps you learn to control certain body functions, like heart rate or blood pressure. Through this, you can improve your health by gaining more control over these functions. It's often used to manage stress, anxiety, or chronic pain.
327 services63 patients
Therapy procedure using water pool to exercises, each 15 minutes 97113
This therapy involves exercising in a water pool for 15-minute intervals. The buoyancy of the water supports your body, reducing stress on joints and muscles. It's beneficial for improving strength, flexibility, and balance. It's a gentle, low-impact form of exercise suitable for all ages.
274 services23 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
49 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 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.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
12395 EL CAMINO REAL STE 111
SAN DIEGO, CA 92130
Physical Therapy Assistant
12395 EL CAMINO REAL STE 111
SAN DIEGO, CA 92130

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 Salvatore Fantano's NPI number?

The NPI number for Salvatore Fantano is 1164182598. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Salvatore Fantano located?

Salvatore Fantano practices at 12395 El Camino Real Ste 111, San Diego, CA 92130. The listed phone number is (858) 724-0392.

What is Salvatore Fantano's specialty?

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

Is Salvatore Fantano enrolled in Medicare?

Yes. Salvatore Fantano 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.

Which organization bills Medicare for Salvatore Fantano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Salvatore Fantano reassigns Medicare benefits to Water And Sports Physical Therapy, Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Salvatore Fantano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Salvatore Fantano was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.