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

Individual provider Physical Therapist · NPI 1063872612

Renee Fomusa, DPT is a Physical Therapist in San Diego, California. Licensed in California and Illinois. Registered with an NPI since 2016.

Licensed in
CA, IL
In the registry since
2016
Specialties on file
2
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

8933 Activity Rd
San Diego, CA 92126-4427
Phone: (858) 653-6085
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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 42729 (CA)
Physical Therapist Taxonomy 225100000X · Licence 070.019297 (IL)

Record details

NPI number1063872612
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 24, 2016
Last updated in NPPESFebruary 24, 2016

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