MEDICARE: ENDURO PHYSICAL THERAPY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1316800071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDURO PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	4501 MISSION BAY DR STE 3K
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-4926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4501 MISSION BAY DR STE 3K
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-4926
Country	:	US
Telephone Number	:	858-215-1714
Fax Number	:

Authorized Official
Title or Position	:	OWNER / PHYSICAL THERAPIST
Name	:	ROYAL TU
Credential	:	DPT
Telephone Number	:	858-215-1714

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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