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

Sports Industrial Physical Therapy

Organization Physical Therapist · NPI 1629083480

Sports Industrial Physical Therapy is a Physical Therapist in Mira Loma, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

10427 San Sevaine Way Ste K
Mira Loma, CA 91752-1199
Phone: (951) 360-8333
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT8535 (CA)

Record details

NPI number1629083480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Carter — Owner · (951) 360-8333
NPI enumeratedJuly 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address10427 San Sevaine Way, Ste K, Mira Loma, CA 91752-1199

Other providers in Mira Loma