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

Gina Derham

Individual provider Physical Therapy Assistant · NPI 1881076719

Gina Derham is a Physical Therapy Assistant in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12433 Floresta Ct
San Diego, CA 92128-1310
Phone: (858) 485-8117
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT 3602 (CA)

Record details

NPI number1881076719
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 27, 2015
Last updated in NPPESJune 27, 2015

Other providers in San Diego