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

Kelly Thomas

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1356074017

Kelly Thomas is a Physical Therapist in Private Practice in San Diego, California. Graduated from University of Wisconsin School of Medicine in 1990, 36 years ago. Practices with Sd Sports Medicine and Family Health Center, a 38-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
36
Trained at
University of Wisconsin School of Medicine
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

2204 Garnet Ave Ste 101
San Diego, CA 92109-3771
Phone: (858) 224-7970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 18248 (CA)

Record details

NPI number1356074017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2022
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Sd Sports Medicine And Family Health Center — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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