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

Individual provider Physical Therapist · NPI 1265702807

Dr. Chad David Mediate, DPT is a Physical Therapist in LA Jolla, California. Licensed in California and Ohio. Registered with an NPI since 2012.

Licensed in
CA, OH
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4130 La Jolla Village Dr Ste 306
LA Jolla, CA 92037-9121
Phone: (858) 455-6460
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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 37003 (CA)
Physical Therapist Taxonomy 225100000X · Licence 012196 (OH)

Record details

NPI number1265702807
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 12, 2012
Last updated in NPPESJanuary 12, 2012

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