Doctor profile · Federal record

Dr. Holly Vicario, PT

Physical Therapist (CMS: Physical Therapist in Private Practice) · San Diego, CA

  • NPI 1790316545
  • Accepts Medicare
  • 13 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
15004 Innovation Dr
San Diego, CA 921283491
(858) 605-7189
Mailing address
10790 Rancho Bernardo RD # 4S-205
San Diego, CA 921275705

Credentials & registration

NPPES · NUCC
NPI registered
January 2020 — 6 yrs on file
Year of graduation
2013 — 13 yrs since
Specialty taxonomy
225100000X — NUCC code
State license (1)
California #40378

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1790316545. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
208
Distinct HCPCS
2
Medicare allowed
$7,560
HCPCS Description Services Patients Avg allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 185 11 $27
97162 Evaluation for physical therapy, typically 30 minutes 23 22 $110

In context: peer comparison

Among 177 peers in San Diego Physical Therapist, average services per provider: 378. This provider delivers 0.6× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Holly Vicario's medical specialty?
Dr. Holly Vicario practices Physical Therapist in San Diego, CA.
Where does Dr. Holly Vicario practice?
Dr. Holly Vicario practices at 15004 Innovation Dr, San Diego, CA 921283491. Office phone: 8586057189.
What is Dr. Holly Vicario's NPI?
Dr. Holly Vicario's National Provider Identifier (NPI) is 1790316545, issued by NPPES.
Does Dr. Holly Vicario accept Medicare assignment?
Yes. Dr. Holly Vicario accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Holly Vicario commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Evaluation for physical therapy, typically 30 minutes (HCPCS 97162). Source: CMS Medicare Physician & Other Practitioners file.