Sport, Spine & Orthopedic
NPI 1043305824ActiveOrganization· Physical Therapist· San Luis Obispo, CA
Physical Therapist in San Luis Obispo, California, registered in NPPES in October 2006. The authorized official on file is Charles Edwin St Vincent, PT, Owner/Physical Therapist.
Overview
| NPI | 1043305824 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2006 |
| Last updated in NPPES | Nov 22, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT5452 | CA |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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All 83 physical therapists in San Luis Obispo · All physical therapists in California