Healthcare Provider Details

I. General information

NPI: 1376464289
Provider Name (Legal Business Name): PERSIST PHYSICAL THERAPY A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12225 WORLD TRADE DR STE S
SAN DIEGO CA
92128-3769
US

IV. Provider business mailing address

12225 WORLD TRADE DR STE S
SAN DIEGO CA
92128-3769
US

V. Phone/Fax

Practice location:
  • Phone: 858-210-5564
  • Fax:
Mailing address:
  • Phone: 858-210-5564
  • 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: ALYSSA N BURKITT
Title or Position: PRESIDENT/OWNER
Credential: DPT
Phone: 609-731-9968