MEDICARE: APEX MOBILE REHAB LLC

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

General Provider Information

NPI Number	:	1811881501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX MOBILE REHAB LLC

Provider Business Mailing Address
First Line	:	1534 HAWKEN DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92154-4826
Country	:	US
Telephone Number	:	619-348-2416
Fax Number	:

Provider Business Practice Location Address
First Line	:	1534 HAWKEN DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92154-4826
Country	:	US
Telephone Number	:	619-348-2416
Fax Number	:

Authorized Official
Title or Position	:	CO OWNER/AO
Name	:	MYRA SANTIAGO
Credential	:
Telephone Number	:	619-348-2416

Provider Enumeration Date	:	06/06/2025
Last Update Date	:	01/12/2026

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Directions to “APEX MOBILE REHAB LLC ” Practice Location

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