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MS. MARY LYDIA ENGLES PT MS OCS NPI 1760447536


NPI Information

NPI: 1760447536
Provider Name: MS. MARY LYDIA ENGLES, PT, MS, OCS
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
4120 W POINT LOMA BLVD
SAN DIEGO, CA
ZIP 92110
Phone: (619) 226-4131
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MS. Mary Lydia Engles, PT, MS, OCS is an orthopedic physical therapist in San Diego, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. MS. Mary Lydia Engles, PT, MS, OCS NPI is 1760447536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4120 W POINT LOMA BLVD
SAN DIEGO, CA
ZIP 92110-605
Phone: (619) 226-4131
Fax: (619) 226-4124

The enumeration date for this NPI number is 4/17/2006 and was last updated on 8/5/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistPT6252CALIFORNIANo
22251S0007XPhysical TherapistSportsPT6252CALIFORNIANo
32251X0800XPhysical TherapistOrthopedicPT6252CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100PT6252MEDICAIDCALIFORNIA
2070112OTHERCALIFORNIAHEALTH NET PIN NUMBER
300PT62520OTHERCALIFORNIABLUE CROSS PIN NUMBER
4PT6256MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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