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

Sport Clinic Inc

Organization Physical Therapist · NPI 1497771901

Sport Clinic Inc provides Physical Therapist services in Fremont, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

39180 Farwell Dr Ste 101
Fremont, CA 94538-1052 Not confirmed with CMS for 15 years — call before visiting
Phone: (510) 438-0294
Fax: (510) 438-0468
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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 PT18871 (CA)

Record details

NPI number1497771901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darryl Lopez — Vice President Sercetary · (510) 438-0294
NPI enumeratedJuly 15, 2006
Last updated in NPPESMarch 18, 2011
Mailing address39180 Farwell Dr, Suite 101, Fremont, CA 94538-1052

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