Andrew Phong, DPT, PT
NPI 1174240782ActiveIndividual· Physical Therapist· Mill Valley, CA
Physical Therapist (DPT, PT) in Mill Valley, California, with an NPI issued in October 2022. Medicare paid $27,424 for services to 85 patients in 2024.
Overview
| NPI | 1174240782 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, PT |
| Sole proprietor | No |
| NPI issued | Oct 24, 2022 |
| Last updated in NPPES | Oct 24, 2022 |
| Certified by provider | Oct 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 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 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 85 |
|---|---|
| Services billed | 1,011 across 8 procedure codes |
| Paid by Medicare | $27,424 |
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