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

Maverick Physical Therapy PC

Organization Physical Therapist · NPI 1396234449

Maverick Physical Therapy PC is a Physical Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5915 Mira Mesa Blvd Ste D
San Diego, CA 92121-4303
Phone: (858) 899-8299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT41485 (CA)

Record details

NPI number1396234449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Frens — Owner · (616) 889-6894
NPI enumeratedMay 4, 2018
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address5915 Mira Mesa Blvd Ste D, San Diego, CA 92121-4303

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