Healthcare Provider Details

I. General information

NPI: 1881788305
Provider Name (Legal Business Name): SYLVIA A MEHL PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N. AVIATION BLVD SUITE B
MANHATTAN BEACH CA
90266-7015
US

IV. Provider business mailing address

210 N. AVIATION BLVD SUITE B
MANHATTAN BEACH CA
90266-7015
US

V. Phone/Fax

Practice location:
  • Phone: 310-376-9200
  • Fax: 310-376-9202
Mailing address:
  • Phone: 310-376-9200
  • Fax: 310-376-9202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPT13256
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT13256
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT13256
License Number StateCA

VIII. Authorized Official

Name: SYLVIA ANN MEHL
Title or Position: OWNER THERAPIST
Credential: PT, OCS
Phone: 310-376-9200