Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Biosport Physical Therapy San Joaquin Inc

Organization Physical Therapist · NPI 1679291827

Biosport Physical Therapy San Joaquin Inc provides Physical Therapist services in Tracy, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2156 W Grant Line Rd Ste 215
Tracy, CA 95377-7337
Phone: (209) 524-7488
Fax: (209) 522-7488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1679291827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leovardo Chavez — Ceo/Cfo/Physical Therapist · (209) 524-7488
NPI enumeratedAugust 15, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing addressPo Box 576751, Modesto, CA 95357-6751

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