Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Proactive Physical Therapy & Sports Medicine

Organization Physical Therapist · NPI 1316107410

Proactive Physical Therapy & Sports Medicine provides Physical Therapist services in San Diego, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

10806 Willow Ct
San Diego, CA 92127-2428 Not confirmed with CMS for 18 years — call before visiting
Phone: (858) 381-5084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1316107410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Pentlarge — Owner · (760) 444-0102
NPI enumeratedJune 11, 2008
Last updated in NPPESJune 11, 2008
Mailing address6070 Avenida Encinas, Carlsbad, CA 92011-1001

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