Mdrs Spine & Sport, Inc
NPI 1952394603 · 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)
Mdrs Spine & Sport, Inc is a Physical Therapist organization in San Diego, CA (NPI 1952394603).
Provider details
- NPI number
- 1952394603
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Angel Collado, Credentialing Officer(858) 264-1417
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
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
- 2005-08-29
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is Mdrs Spine & Sport, Inc's NPI number?
- Mdrs Spine & Sport, Inc's National Provider Identifier (NPI) is 1952394603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mdrs Spine & Sport, Inc?
- Mdrs Spine & Sport, Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mdrs Spine & Sport, Inc located?
- Mdrs Spine & Sport, Inc's practice location on file with NPPES is 3707 Convoy St Ste 100, San Diego, CA 92111-3754.
- What is Mdrs Spine & Sport, Inc's phone number?
- The practice phone number listed in the NPPES registry for Mdrs Spine & Sport, Inc is (858) 573-9368.
- Does Mdrs Spine & Sport, Inc accept Medicare?
- Mdrs Spine & Sport, 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 Mdrs Spine & Sport, Inc?
- The authorized official listed on Mdrs Spine & Sport, Inc's NPPES record is Angel Collado, Credentialing Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mdrs Spine & Sport, Inc's NPI active?
- Yes — Mdrs Spine & Sport, Inc's NPI (1952394603) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.