Southland Physical Therapy Mission Viejo Clinic, PC
NPI 1023569795ActiveOrganization· Physical Therapist· Mission Viejo, CA
Physical Therapist in Mission Viejo, California, registered in NPPES in October 2016, part of Southland Physical Therapy, Inc. The authorized official on file is Shawn Jeffrey Mead, DPT, Clinical Manager.
Overview
| NPI | 1023569795 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southland Physical Therapy, Inc |
| NPI issued | Oct 18, 2016 |
| Last updated in NPPES | Oct 18, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40531 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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