1. Home
  2. Directory
  3. California
  4. San Diego
  5. Physical Therapist
  6. NPI Profile

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: October 18, 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
Phone(619) 260-0750
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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Physical Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Innovative Physical Therapy Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Lindy First, P.T.
Physical Therapist in Private Practice
NPI 1568660645
5030 CAMINO DE LA SIESTA #220
San Diego, CA 92108
(619) 260-0750
✔ Accepts MedicareSame address
Joseph Wong, PT,DPT
Physical Therapist in Private Practice
NPI 1144852724
5030 CAMINO DE LA SIESTA STE 220
San Diego, CA 92108
(619) 260-0750
✔ Accepts MedicareSame address
Marilyn Johnson, P.T.
Physical Therapist in Private Practice
NPI 1073557708
5030 CAMINO DE LA SIESTA STE 220
San Diego, CA 92108
(619) 260-0750
✔ Accepts MedicareSame address
Summer Stewart, DPT
Physical Therapist in Private Practice
NPI 1457133621
1488 PIONEER WAY STE 13
El Cajon, CA 92020
(858) 755-5200
✔ Accepts Medicare12 mi
Maya Bizik, PT, DPT
Physical Therapist in Private Practice
NPI 1730531328
1625 E MAIN ST STE 101
El Cajon, CA 92021
(619) 440-9444
✔ Accepts Medicare14 mi
Justin Lalonde, PT
Physical Therapist in Private Practice
NPI 1629584263
508 WEBSTER ST
Petaluma, CA 94952
(480) 202-3669
✔ Accepts Medicare487 mi
Andrew Wiseman, DPT
Physical Therapist in Private Practice
NPI 1184140097
18221 VILLAGE CENTER DR
Olney, MD 20832
(301) 798-7031
✔ Accepts Medicare2,271 mi

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

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.

Is Innovative Physical Therapy Inc enrolled in Medicare?

Yes. Innovative Physical Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Physical Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Innovative Physical Therapy Inc. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.