HOLLY VICARIO PT
NPI 1790316545
Physical Therapist in San Diego, CA

Active since January 30, 2020Accepts Medicare Assignment
15004 INNOVATION DR, SAN DIEGO, CA 92128(858) 605-7189 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holly Vicario Pt NPPES

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

HOLLY VICARIO PT (NPI 1790316545) is an individual physical therapist in San Diego, California, licensed in California (40378) and active in the NPI registry since January 2020. She is a graduate of University Of Southern California Keck School Of Medicine (2013).

NPPES Registry Identity

NPI1790316545
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameHOLLY VICARIOCredential: PT
Location Address15004 INNOVATION DRSan Diego, CA 92128-3491
Mailing Address10790 Rancho Bernardo Rd # 4s-205San Diego, CA 92127-5705 · (858) 927-5775
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2013
Enumeration DateJanuary 30, 2020
NPI 1790316545 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 · 40378
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

15004 INNOVATION DR, San Diego, CA 92128

Other Names 1

Former Name (1)Holly Kolar Pt

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Holly Vicario Pt 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 ID6002224409
PECOS Enrollment IDI20210424000010

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 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 20

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

Clinic/Center (Multi-Specialty)
15004 INNOVATION DR
SAN DIEGO, CA 92128
Audiologist
15004 INNOVATION DR
SAN DIEGO, CA 92128
Dietitian, Registered
15004 INNOVATION DR, ROOM 2126
SAN DIEGO, CA 92128
Pediatrics
15004 INNOVATION DR
SAN DIEGO, CA 92128
Dermatology
15004 INNOVATION DR
SAN DIEGO, CA 92128
Physical Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
Occupational Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
Physical Therapist (Orthopedic)
15004 INNOVATION DR
SAN DIEGO, CA 92128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790316545, enumerated as an "individual" on January 30, 2020.

The provider is located at 15004 INNOVATION DR SAN DIEGO, CA 92128 and the phone number is (858) 605-7189.

Physical Therapist with taxonomy code 225100000X.