Ismansjah Soekardi, PT
NPI 1215054721ActiveIndividual· Physical Therapist· Aptos, CA
Physical Therapist (PT) with California Orthopedic and Sports Therapy Rehabilitation Services, Inc., practicing in Aptos, California. Medicare paid $70,063 for services to 54 patients in 2024.
Overview
| NPI | 1215054721 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Mar 22, 2007 |
| Last updated in NPPES | Oct 4, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT25843 | 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 | 54 |
|---|---|
| Services billed | 3,130 across 10 procedure codes |
| Paid by Medicare | $70,063 |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- California Orthopedic and Sports Therapy Rehabilitation Services, Inc.Aptos, CA · 2 clinicians
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All 19 physical therapists in Aptos · All physical therapists in California