Marlou Russel Soriano Garces Jr., DPT
NPI 1396427977ActiveIndividual· Physical Therapist· Los Banos, CA
Physical Therapist (DPT) with Sport and Rehab Physical Therapy Incorporated, practicing in Los Banos, California. Medicare paid $72,264 for services to 123 patients in 2024.
Overview
| NPI | 1396427977 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Aug 3, 2023 |
| Last updated in NPPES | Aug 3, 2023 |
| Certified by provider | Aug 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 304381 | 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 | 123 |
|---|---|
| Services billed | 3,997 across 15 procedure codes |
| Paid by Medicare | $72,264 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Sport and Rehab Physical Therapy IncorporatedLos Banos, CA · 6 clinicians
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All 20 physical therapists in Los Banos · All physical therapists in California