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

Maverick Physical Therapy PC

Organization Physical Therapist · NPI 1396234449

Maverick Physical Therapy PC provides Physical Therapist services in San Diego, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5915 Mira Mesa Blvd Ste D
San Diego, CA 92121-4303
Phone: (858) 899-8299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT41485 (CA)

Record details

NPI number1396234449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Frens — Owner · (616) 889-6894
NPI enumeratedMay 4, 2018
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address5915 Mira Mesa Blvd Ste D, San Diego, CA 92121-4303

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