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

Individual provider Physical Therapist · NPI 1417529447

Michelle Lynn Medicke, DPT is a Physical Therapist in LA Jolla, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

7946 Ivanhoe Ave Ste 110
LA Jolla, CA 92037-4516
Phone: (858) 551-8882
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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 295856 (CA)

Record details

NPI number1417529447
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJuly 9, 2021
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021

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