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NPI Code Detail

MEDICARE: SAN LUIS PHYSICAL THERAPY & ORTHOPEDIC REHABILITATION INC

MEDICARE: SAN LUIS PHYSICAL THERAPY & ORTHOPEDIC REHABILITATION 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
1225100000XPhysical Therapist
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1437167855
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN LUIS PHYSICAL THERAPY & ORTHOPEDIC REHABILITATION INC
Provider Business Mailing Address
First Line : 408 HIGUERA ST STE 200
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-6135
Country : US
Telephone Number : 805-788-0805
Fax Number : 805-788-0845
Provider Business Practice Location Address
First Line : 4869 S BRADLEY RD STE 114
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-5088
Country : US
Telephone Number : 805-938-5320
Fax Number : 805-938-5390
Authorized Official
Title or Position : PRESIDENT
Name : KELLY SANDERS
Credential : PT
Telephone Number : 805-788-0805
Provider Enumeration Date : 08/03/2006
Last Update Date : 04/10/2023

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1649752700 — DYLAN ROBERTS
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1831703065 — KELLY JARRETT PT, DPT
Practice Location Address:
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1639834591 — GABRIEL KING PT
Practice Location Address:
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Practice Fax:

Directions to “SAN LUIS PHYSICAL THERAPY & ORTHOPEDIC REHABILITATION INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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