Pomona Valley Orthopedic and Sports Physical Therapy, Inc
NPI 1255301461ActiveOrganization· Physical Therapist· Diamond Bar, CA
Physical Therapist in Diamond Bar, California, registered in NPPES in January 2006. The authorized official on file is Gary Souza, DPT, OCS, Owner,president. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1255301461 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2006 |
| Last updated in NPPES | Aug 7, 2020 |
| Certified by provider | Aug 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT10462 | 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) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (CA); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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