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

Kaleb Blair Cullison, PTDPT

Individual provider Physical Therapist · NPI 1326306762

Kaleb Blair Cullison, PTDPT is a Physical Therapist in Private Practice in San Marcos, California. Qualified in 2011, 15 years ago. Practices with Beth Scalone PT Inc, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2012
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Practice location Address checks out

277 Rancheros Dr Ste 150
San Marcos, CA 92069-2976
Phone: (951) 379-1500
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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 38863 (CA)

Record details

NPI number1326306762
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address23100 Eucalyptus Ave Ste C, Moreno Valley, CA 92553-5439

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Beth Scalone Pt Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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