ACTIVERX PHYSICAL THERAPY NPI 1710207931

NPI Information

  • NPI: 1710207931
  • Provider Name: ACTIVERX PHYSICAL THERAPY
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 4765 CARMEL MOUNTAIN RD
    SUITE 102
    SAN DIEGO, CA
    ZIP 92130
  • Phone: (858) 705-5050

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NPI Details

ACTIVERX PHYSICAL THERAPY is a sports medicine physical medicine rehabilitation in San Diego, CA. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. ACTIVERX PHYSICAL THERAPY NPI is 1710207931. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4765 CARMEL MOUNTAIN RD
SUITE 102
SAN DIEGO, CA
ZIP 92130-657
Phone: (858) 705-5050

The provider's authorized official is Michelle Guido .
The authorized official title is Clinical Director and has the following contact phone number (858) 705-0505.

The enumeration date for this NPI number is 6/10/2010 and was last updated on 8/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports Medicine28518CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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