Healthcare Provider Details

I. General information

NPI: 1295661668
Provider Name (Legal Business Name): KERBY METHOD PHYSIOTHERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4944 SANTA MONICA AVE APT 123
SAN DIEGO CA
92107-2802
US

IV. Provider business mailing address

4944 SANTA MONICA AVE APT 123
SAN DIEGO CA
92107-2802
US

V. Phone/Fax

Practice location:
  • Phone: 619-432-2991
  • Fax: 442-237-4279
Mailing address:
  • Phone: 619-432-2991
  • Fax: 442-237-4279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ELIZABETH ALICE KERBY
Title or Position: CEO, PHYSICAL THERAPIST
Credential: PT, DPT, SEP
Phone: 619-432-2991