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

San Diego Spine & Sport, Inc

Organization Occupational Therapy Assistant · NPI 1063405637

San Diego Spine & Sport, Inc is an Occupational Therapy Assistant in Chula Vista, California. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
10
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

450 4th Ave #215
Chula Vista, CA 91910-4426
Phone: (619) 585-3745
Fax: (619) 585-3746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ergonomics Occupational Therapist (primary) Taxonomy 225XE1200X
Occupational Therapy Assistant Taxonomy 224Z00000X
Orthotic Fitter Taxonomy 225000000X
Physical Therapist Taxonomy 225100000X
Clinical Electrophysiology Physical Therapist Taxonomy 2251E1300X
Hand Physical Therapist Taxonomy 2251H1200X
Sports Physical Therapist Taxonomy 2251S0007X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X
Hand Occupational Therapist Taxonomy 225XH1200X

Record details

NPI number1063405637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vert Mooney — Owner · (858) 751-0900
Other names South Bay Spine & Sport
NPI enumeratedAugust 29, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address450 4th Ave, 215, Chula Vista, CA 91910-4426

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