Healthcare Provider Details

I. General information

NPI: 1720886831
Provider Name (Legal Business Name): BINDIYA VALLABH PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 03/04/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3633 VISTA WAY
OCEANSIDE CA
92056-4568
US

IV. Provider business mailing address

2308 VERANO WAY
VISTA CA
92081-7387
US

V. Phone/Fax

Practice location:
  • Phone: 760-729-7298
  • Fax: 760-729-7206
Mailing address:
  • Phone: 760-987-0797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: