Organization Active NPI

Mizuta & Associates Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • San Diego, CA
National Provider Identifier
1376783076
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
29228 Issued in CA
Legal business name
MIZUTA & ASSOCIATES PHYSICAL THERAPY, INC.
Practice address
8281 Polizzi PL
San Diego, CA 92123-3830
Phone
(804) 475-6853
Fax
(619) 564-7121
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Katherine McLendon
Title
Office Manager
Phone
(619) 564-7120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 29228 CA Primary

Addresses

Primary practice location

8281 Polizzi PL
San Diego, CA 92123-3830

Mailing address

8281 Polizzi PL
San Diego, CA 92123-3830
Phone (804) 475-6853

Other names 1

  • Mizuta & Associates Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090604000411 CA Part B Supplier - Clinic/Group Practice 2163572629 Receives reassigned benefits from 5 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

2555 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 302-7589

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1376783076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8281 POLIZZI PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233830",
            "telephone_number": "804-475-6853",
            "fax_number": "619-564-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8281 POLIZZI PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233830",
            "telephone_number": "804-475-6853",
            "fax_number": "619-564-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZUTA & ASSOCIATES PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-564-7120"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "29228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mizuta & Associates Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.