Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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San Diego Sports Physical Therapy, PC

Organization Physical Therapist · NPI 1295608420

San Diego Sports Physical Therapy, PC is a Physical Therapist in San Diego, California. Works from 3 locations. Registered with an NPI since 2025.

In the registry since
2025
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

8290 Vickers St Ste C&d
San Diego, CA 92111-2116
Phone: (619) 510-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8380 Center Dr Ste C, La Mesa, CA 91942-2952 — (619) 510-5000
  • 13220 Evening Creek Dr S Ste 109, San Diego, CA 92128-4103 — (619) 510-5000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1295608420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Rustich — Ceo · (619) 510-5000
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address1412 Primrose Dr, El Cajon, CA 92020-5644

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