Innovative Physical Therapy Inc
NPI 1821047580 · Orthopedic Physical Therapist · San Diego, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Physical Therapy Inc is a Orthopedic Physical Therapist organization in San Diego, CA (NPI 1821047580).
Provider details
- NPI number
- 1821047580
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Marilyn Johnson, President(619) 260-0750
- License
- PT12294 (CA)
Specialties & taxonomies
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
20 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
- 2006-05-09
- Last updated
- 2014-03-06
Frequently asked questions
- What is Innovative Physical Therapy Inc's NPI number?
- Innovative Physical Therapy Inc's National Provider Identifier (NPI) is 1821047580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Physical Therapy Inc?
- Innovative Physical Therapy Inc is classified in the NPPES registry as Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Innovative Physical Therapy Inc located?
- Innovative Physical Therapy Inc's practice location on file with NPPES is 5030 Camino De La Siesta, San Diego, CA 92108-3116.
- What is Innovative Physical Therapy Inc's phone number?
- The practice phone number listed in the NPPES registry for Innovative Physical Therapy Inc is (619) 260-0750.
- Does Innovative Physical Therapy Inc accept Medicare?
- Innovative Physical Therapy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Physical Therapy Inc?
- The authorized official listed on Innovative Physical Therapy Inc's NPPES record is Marilyn Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Physical Therapy Inc's NPI active?
- Yes — Innovative Physical Therapy Inc's NPI (1821047580) is active in the NPPES registry as of the last update on 2014-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.