Healthcare Provider Details

I. General information

NPI: 1477582542
Provider Name (Legal Business Name): BRYAN SCHMIDT PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 REGENTS PARK ROW #345
LA JOLLA CA
92037-9102
US

IV. Provider business mailing address

4150 REGENTS PARK ROW #345
LA JOLLA CA
92037-9102
US

V. Phone/Fax

Practice location:
  • Phone: 858-677-9700
  • Fax: 858-677-9770
Mailing address:
  • Phone: 858-677-9700
  • Fax: 858-677-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. BRYAN JAMES SCHMIDT
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT, CHT
Phone: 858-677-9700