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

Proactive Physical Therapy & Sports Medicine

Organization Physical Therapist · NPI 1316107410

Proactive Physical Therapy & Sports Medicine is a Physical Therapist in San Diego, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

10806 Willow Ct
San Diego, CA 92127-2428
Phone: (858) 381-5084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1316107410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Pentlarge — Owner · (760) 444-0102
NPI enumeratedJune 11, 2008
Last updated in NPPESJune 11, 2008
Mailing address6070 Avenida Encinas, Carlsbad, CA 92011-1001

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