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

Derek Scott Rustich, DPT

Individual provider Physical Therapist · NPI 1972224673

Derek Scott Rustich, DPT is a Physical Therapist in San Diego, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

13220 Evening Creek Dr S Ste 109
San Diego, CA 92128-4103
Phone: (619) 510-5000
Fax: (619) 303-4230
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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
  • 8290 Vickers St Ste C, San Diego, CA 92111-2116 — (619) 510-5000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 302855 (CA)

Record details

NPI number1972224673
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 9, 2022
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

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