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

Michael Evan Kastan, PT

Individual provider Physical Therapist · NPI 1205602612

Michael Evan Kastan, PT is a Physical Therapist in Private Practice in Del Mar, California. Qualified in 2023, 3 years ago. Practices with Bespoke San Diego Physical Therapy PC, a 15-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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

2690 Via De La Valle Ste D160
Del Mar, CA 92014-1991
Phone: (858) 290-0855
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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 305135 (CA)

Record details

NPI number1205602612
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023
Mailing address3001 Palm Vista Ct, El Cajon, CA 92019-4644

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Bespoke San Diego Physical Therapy Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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