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

Sports & Wellness Physical Therapy, Inc

Organization Physical Therapist · NPI 1639195761

Sports & Wellness Physical Therapy, Inc provides Physical Therapist services in San Luis Obispo, 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

3440 S Higuera St Ste 120
San Luis Obispo, CA 93401-7393 Not confirmed with CMS for 10 years — call before visiting
Phone: (805) 439-2159
Fax: (805) 439-2160
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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 PT14568 (CA)

Record details

NPI number1639195761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Johnson — Owner/Physical Therapist · (805) 439-2159
NPI enumeratedJuly 14, 2006
Last updated in NPPESSeptember 13, 2016
Mailing addressPo Box 3070, Shell Beach, CA 93448-3070

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