Healthcare Provider Details

I. General information

NPI: 1093520009
Provider Name (Legal Business Name): MOBILEPT4U PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9265 ACTIVITY RD STE 107
SAN DIEGO CA
92126-4444
US

IV. Provider business mailing address

9265 ACTIVITY RD STE 107
SAN DIEGO CA
92126-4444
US

V. Phone/Fax

Practice location:
  • Phone: 858-344-5586
  • Fax:
Mailing address:
  • Phone: 619-289-7110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DEVAL DESAI
Title or Position: CEO
Credential:
Phone: 619-289-7110