INNOVATIVE PHYSICAL THERAPY INC
NPI 1821047580
Physical Therapist - Orthopedic in San Diego, CA

Active since May 09, 2006
5030 CAMINO DE LA SIESTA, SUITE 220, SAN DIEGO, CA 92108(619) 260-0750(619) 260-0201 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Innovative Physical Therapy Inc NPPES

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

INNOVATIVE PHYSICAL THERAPY INC (NPI 1821047580) is a healthcare organization registered as an orthopedic in San Diego, California and active in the NPI registry since May 2006. The organization lists Marilyn S Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1821047580
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameINNOVATIVE PHYSICAL THERAPY INC
Location Address5030 CAMINO DE LA SIESTA, SUITE 220San Diego, CA 92108-3116
Mailing Address5030 Camino De La Siesta, Suite 220San Diego, CA 92108-3116 · (619) 260-0750 · Fax (619) 260-0201
Fax(619) 260-0201
Organization SubpartNo
Authorized OfficialMarilyn S JohnsonPresident · (619) 260-0750
Enumeration DateMay 9, 2006
Last NPPES UpdateMarch 6, 2014
NPI 1821047580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in CA · PT12294
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
5030 CAMINO DE LA SIESTA, San Diego, CA 92108

Other Identifiers 1

Medicare PINW19864CA

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 SINGLE SPECIALTY GROUP

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.

Psychologist (Clinical)
5030 CAMINO DE LA SIESTA, SUITE 306
SAN DIEGO, CA 92108
Psychologist (Clinical)
5030 CAMINO DE LA SIESTA, SUITE 306
SAN DIEGO, CA 92108
Family Medicine (Geriatric Medicine)
5030 CAMINO DE LA SIESTA, SUITE 208
SAN DIEGO, CA 92108
Internal Medicine (Geriatric Medicine)
5030 CAMINO DE LA SIESTA, SUITE 208
SAN DIEGO, CA 92108
Urology
5030 CAMINO DE LA SIESTA, SUITE 210
SAN DIEGO, CA 92108
Physical Therapist
5030 CAMINO DE LA SIESTA, #220
SAN DIEGO, CA 92108
Chiropractor
5030 CAMINO DE LA SIESTA, SUITE 402
SAN DIEGO, CA 92108
Physician Assistant
5030 CAMINO DE LA SIESTA, #208
SAN DIEGO, CA 92108

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 Innovative Physical Therapy Inc's NPI number?

The NPI number for Innovative Physical Therapy Inc is 1821047580. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Innovative Physical Therapy Inc located?

Innovative Physical Therapy Inc is located at 5030 Camino De La Siesta Suite 220, San Diego, CA 92108. The listed phone number is (619) 260-0750.

What is Innovative Physical Therapy Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Innovative Physical Therapy Inc was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.