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

Holly Vicario, PT

Individual provider Physical Therapist · NPI 1790316545

Holly Vicario, PT is a Physical Therapist in Private Practice in San Diego, California. Graduated from University of Southern California Keck School of Medicine in 2013, 13 years ago. Practices with Scripps Health, a 1,446-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

15004 Innovation Dr
San Diego, CA 92128-3491
Phone: (858) 605-7189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40378 (CA)

Record details

NPI number1790316545
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 30, 2020
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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