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

Mr. Peter Anthony Scognamillo Jr., DPTATCCSCS

Individual provider Physical Therapist · NPI 1245341957

Mr. Peter Anthony Scognamillo Jr., DPTATCCSCS is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2002, 24 years ago. Practices with All Star Physical Therapy, a 150-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

9610 Granite Ridge Dr Ste C
San Diego, CA 92123
Phone: (858) 573-0550
Fax: (858) 573-0550
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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 PT28062 (CA)

Record details

NPI number1245341957
Entity typeIndividual (Type 1)
GenderMale
Credentials DPTATCCSCS
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 22, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice All Star Physical Therapy — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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