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

Mammoth Physical Therapy, Inc

Organization Physical Therapy Clinic/Center · NPI 1962166280

Mammoth Physical Therapy, Inc is a Physical Therapy Clinic/Center in Mammoth Lakes, California. Registered with an NPI since 2021.

In the registry since
2021
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

645 Old Mammoth Rd Ste 9
Mammoth Lakes, CA 93546-2048
Phone: (760) 965-9465
Fax: (760) 867-2021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1962166280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alonzo Melissa — President · (760) 965-9465
Other names Mammoth Physio
NPI enumeratedOctober 22, 2021
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing addressPo Box 8963, Mammoth Lakes, CA 93546-8963

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