Individual provider Active NPI

Mary Christine T Chu, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1962770818
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 38406 Issued in CA
Practice address
5252 Balboa Ave Ste 901
San Diego, CA 92117-6917
Phone
(619) 880-0748
Fax
(858) 560-8092
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 38406 CA Primary

Addresses

Primary practice location

5252 Balboa Ave Ste 901
San Diego, CA 92117-6917

Mailing address

5252 Balboa Ave Ste 901
San Diego, CA 92117-6917
Phone (619) 880-0748

Other identifiers 1

IdentifierTypeStateIssuer
PT 38406OtherCACALIFORNIA PHYSICAL THERAPY BOARD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121001000252 CA Practitioner - Physical Therapist in Private Practice 9537318993 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Piranio Knepp Chiropractic IncGroup PAC ID 1759319486, 3 clinicians

Practice addresses (Care Compare)

5252 Balboa Ave
Suite 901
San Diego, CA 92117-6917
Phone (858) 560-5022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38406CAMDGeneral Practice Dentistry
PT 38406CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athercare Fitness & Rehabilitation Inc Physical Therapist CurrentSince Aug 1, 2012 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jul 25, 2024 Accepting new patients
Elnel, Inc. a California Corporation Total Physical Therapy Physical Therapist CurrentSince Mar 18, 2019 Accepting new patients
Piranio Knepp Chiropractic Inc CurrentSince Jul 10, 2019 Accepting new patients
JC Chiropractic, P.C. Past Accepting new patients

Locations

20994 Redwood Rd
Castro Valley, CA 94546
Phone (510) 885-9840

311 Broadway
Chula Vista, CA 91910
Phone (619) 422-0404

2417 Fenton St
Ste A
Chula Vista, CA 91914
Phone (619) 422-0404

320 Broadway
#2
Chula Vista, CA 91910
Phone (619) 422-0404

181 Jamacha Rd
El Cajon, CA 92019
Phone (619) 447-7774

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

7073 Commerce Cir
Pleasanton, CA 94588
Phone (925) 225-9840

5252 Balboa Ave
San Diego, CA 92117
Phone (858) 357-9076

5252 Balboa Ave
Ste 901
San Diego, CA 92117
Phone (858) 560-5022

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1962770818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 901",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176917",
            "telephone_number": "619-880-0748",
            "fax_number": "858-560-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 901",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176917",
            "telephone_number": "619-880-0748",
            "fax_number": "858-560-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "MARY CHRISTINE",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 38406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHYSICAL THERAPY BOARD",
            "identifier": "PT 38406",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.