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

Mr. Michael Joseph Distefano, PT

Individual provider Orthopedic Physical Therapist · NPI 1396732715

Mr. Michael Joseph Distefano, PT is an Orthopedic Physical Therapist in San Diego, California. Licensed in California and New York. Registered with an NPI since 2005.

Licensed in
CA, NY
In the registry since
2005
Specialties on file
2
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

4650 Palm Ave
San Diego, CA 92154-8404
Phone: (619) 662-5277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 41475 (CA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 012611 (NY)

Record details

NPI number1396732715
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESNovember 19, 2015

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