MEDICARE: UNIVERSITY CITY PHYSICAL THERAPY

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
1	225100000X	Physical Therapist		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0382172	OTHER	CA	CIGNA HEALTHCARE
2	19-98-9721	OTHER	CA	STATE FUND

General Provider Information

NPI Number	:	1770584062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY CITY PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	5190 GOVERNOR DR
Second Line	:	#107
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-2847
Country	:	US
Telephone Number	:	858-452-0282
Fax Number	:	858-452-6837

Provider Business Practice Location Address
First Line	:	5190 GOVERNOR DR
Second Line	:	#107
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-2847
Country	:	US
Telephone Number	:	858-452-0282
Fax Number	:	858-452-6837

Authorized Official
Title or Position	:	OWNER / PHYSICAL THERAPIST
Name	:	MS. GLORIA THERESA SIGAFOOS
Credential	:	PT, OCS, CHT
Telephone Number	:	858-452-0282

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1851392120 — MS. GLORIA THERESA SIGAFOOS PT OCS CHT
Practice Location Address:

5190 GOVERNOR DR , #107
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92122-2847

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1669467015 — DAVID A DICICCO PHD
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Practice Location Address:

5190 GOVERNOR DR , STE 108
SAN DIEGO, CA
92122-2847

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Practice Location Address:

5190 GOVERNOR DR , SUITE 106
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1225052806 — RENEE CINCO PT
Practice Location Address:

5190 GOVERNOR DR , SUITE 107
SAN DIEGO, CA
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1447316419 — MS. PENNY JOAN FOREMAN MSW
Practice Location Address:

5190 GOVERNOR DR , SUITE 104
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Practice Phone: 858-657-0007
Practice Fax: 734-448-0423

Directions to “UNIVERSITY CITY PHYSICAL THERAPY ” Practice Location

Language	Start Address	Practice Location

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