Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Biosport Physical Therapy San Joaquin Inc

Organization Physical Therapist · NPI 1679291827

Biosport Physical Therapy San Joaquin Inc is a Physical Therapist in Tracy, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2156 W Grant Line Rd Ste 215
Tracy, CA 95377-7337
Phone: (209) 524-7488
Fax: (209) 522-7488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1679291827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leovardo Chavez — Ceo/Cfo/Physical Therapist · (209) 524-7488
NPI enumeratedAugust 15, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing addressPo Box 576751, Modesto, CA 95357-6751

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