OrganizationActive
Mary Lydia Engles
NPI 1104917095 · Specialist · San Diego, CA
Mary Lydia Engles is a Specialist organization in San Diego, CA (NPI 1104917095).
Provider details
- NPI number
- 1104917095
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mary Engles, Owner/Operator(619) 226-4131
- License
- PT6252 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
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
4120 West Point Loma Blvd
San Diego, CA 92110-5605
Phone: (619) 226-4131
Fax: (619) 226-4124
Street-level locationGet directions
Mailing address
4120 West Point Loma Blvd
San Diego, CA 92110-5605
Other names (DBA / former)
- Doing business as
- Sports Arena Physical Therapy
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2012-05-07
Frequently asked questions
- What is Mary Lydia Engles's NPI number?
- Mary Lydia Engles's National Provider Identifier (NPI) is 1104917095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Lydia Engles?
- Mary Lydia Engles is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mary Lydia Engles located?
- Mary Lydia Engles's practice location on file with NPPES is 4120 West Point Loma Blvd, San Diego, CA 92110-5605.
- What is Mary Lydia Engles's phone number?
- The practice phone number listed in the NPPES registry for Mary Lydia Engles is (619) 226-4131.
- Who is the authorized official for Mary Lydia Engles?
- The authorized official listed on Mary Lydia Engles's NPPES record is Mary Engles, Owner/Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Lydia Engles's NPI active?
- Yes — Mary Lydia Engles's NPI (1104917095) is active in the NPPES registry as of the last update on 2012-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.