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

Mdrs Spine & Sport, Inc

Organization Physical Therapist · NPI 1952394603

Mdrs Spine & Sport, Inc is a Physical Therapist in San Diego, California. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
3
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

3707 Convoy St Ste 100
San Diego, CA 92111-3754
Phone: (858) 573-9368
Fax: (858) 874-0582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1952394603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Collado — Credentialing Officer · (858) 264-1417
NPI enumeratedAugust 29, 2005
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing addressPo Box 515746, Los Angeles, CA 90051-5120

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