Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marisa Angelina Hackathorn, PT, DPT

Individual provider Physical Therapist · NPI 1427932110

Marisa Angelina Hackathorn, PT, DPT is a Physical Therapist in San Diego, California. Licensed in Ohio. Registered with an NPI since 2025.

Licensed in
OH
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

16776 Bernardo Center Dr Ste 204A
San Diego, CA 92128-2559
Phone: (858) 361-8782
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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 294958 (OH)

Record details

NPI number1427932110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 5, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 4, 2025

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