MEDICARE: ASHLEY JOY WADDELL DPT

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	310102	CA

General Provider Information

NPI Number	:	1629907928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY JOY WADDELL DPT

Provider Business Mailing Address
First Line	:	10425 TIERRASANTA BLVD STE 102
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92124-2618
Country	:	US
Telephone Number	:	858-598-5055
Fax Number	:

Provider Business Practice Location Address
First Line	:	10425 TIERRASANTA BLVD STE 102
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92124-2618
Country	:	US
Telephone Number	:	858-598-5055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

Similar Medicare Providers

1841125549 — ERYN DUONG PT
Practice Location Address:

10425 TIERRASANTA BLVD STE 102
SAN DIEGO, CA
92124-2618

Practice Phone: 858-598-5055
Practice Fax:

1699824409 — DR. ADAM JAY BRAND DDS, MS
Practice Location Address:

10425 TIERRASANTA BLVD , SUITE #205
SAN DIEGO, CA
92124-2618

Practice Phone: 858-560-6374
Practice Fax:

1013060185 — LARRY ALLEN OKMIN DDS, MS
Practice Location Address:

10425 TIERRASANTA BLVD , SUITE 205
SAN DIEGO, CA
92124-2618

Practice Phone: 858-560-6374
Practice Fax:

1831605625 — MED FIT CONSULTING, INC.
Practice Location Address:

10425 TIERRASANTA BLVD STE 108
SAN DIEGO, CA
92124-2618

Practice Phone: 858-382-6200
Practice Fax:

1700478278 — ES3 PHYSICAL THERAPY INC
Practice Location Address:

10425 TIERRASANTA BLVD STE 102
SAN DIEGO, CA
92124-2618

Practice Phone: 858-598-5055
Practice Fax: 858-598-5075

1023993920 — BREA FRANCIS
Practice Location Address:

10425 TIERRASANTA BLVD STE 102
SAN DIEGO, CA
92124-2618

Practice Phone: 858-598-5055
Practice Fax:

Directions to “ ASHLEY JOY WADDELL DPT” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.