Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Physical Therapy Inc

Organization Orthopedic Physical Therapist · NPI 1821047580

Innovative Physical Therapy Inc is an Orthopedic Physical Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

5030 Camino De La Siesta Ste 220
San Diego, CA 92108-3116
Phone: (619) 260-0750
Fax: (619) 260-0201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT12294 (CA)

Record details

NPI number1821047580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marilyn Johnson — President · (619) 260-0750
NPI enumeratedMay 9, 2006
Last updated in NPPESMarch 6, 2014
Mailing address5030 Camino De La Siesta, Suite 220, San Diego, CA 92108-3116

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