Sport, Spine & Orthopedic
NPI 1043305824 · Physical Therapist · San Luis Obispo, CA
Sport, Spine & Orthopedic is a Physical Therapist organization in San Luis Obispo, CA (NPI 1043305824).
Provider details
- NPI number
- 1043305824
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Charles St Vincent, Owner/Physical Therapist(805) 541-4717
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2011-11-22
Frequently asked questions
- What is Sport, Spine & Orthopedic's NPI number?
- Sport, Spine & Orthopedic's National Provider Identifier (NPI) is 1043305824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sport, Spine & Orthopedic?
- Sport, Spine & Orthopedic is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Sport, Spine & Orthopedic located?
- Sport, Spine & Orthopedic's practice location on file with NPPES is 862 Meinecke Ave, San Luis Obispo, CA 93405-3702.
- What is Sport, Spine & Orthopedic's phone number?
- The practice phone number listed in the NPPES registry for Sport, Spine & Orthopedic is (805) 541-4714.
- Who is the authorized official for Sport, Spine & Orthopedic?
- The authorized official listed on Sport, Spine & Orthopedic's NPPES record is Charles St Vincent, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sport, Spine & Orthopedic's NPI active?
- Yes — Sport, Spine & Orthopedic's NPI (1043305824) is active in the NPPES registry as of the last update on 2011-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.