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NPI Code Detail

MEDICARE: ENDURO PHYSICAL THERAPY, INC.

MEDICARE: ENDURO PHYSICAL THERAPY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1316800071
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENDURO PHYSICAL THERAPY, INC.
Provider Business Mailing Address
First Line : 4501 MISSION BAY DR STE 3K
Second Line :
City : SAN DIEGO
State : CA
Zip : 92109-4926
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4501 MISSION BAY DR STE 3K
Second Line :
City : SAN DIEGO
State : CA
Zip : 92109-4926
Country : US
Telephone Number : 858-215-1714
Fax Number :
Authorized Official
Title or Position : OWNER / PHYSICAL THERAPIST
Name : ROYAL TU
Credential : DPT
Telephone Number : 858-215-1714
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ENDURO PHYSICAL THERAPY, INC. ” Practice Location

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