Nicole Vittorio, P.T., D.P.T.,
NPI 1164824629ActiveIndividual· Physical Therapist· Long Beach, CA
Physical Therapist (P.T., D.P.T.,) with Marina Sports Physical Therapy P C, practicing in Long Beach, California. Medicare paid $39,290 for services to 60 patients in 2024.
Overview
| NPI | 1164824629 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T., D.P.T., |
| Sole proprietor | No |
| NPI issued | Sep 16, 2014 |
| Last updated in NPPES | Oct 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 41617 | CA |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 1,929 across 9 procedure codes |
| Paid by Medicare | $39,290 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Marina Sports Physical Therapy P CRancho Palos Verdes, CA · 4 clinicians
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