Im Physical Therapy Inc
NPI 1407458631ActiveOrganization· Physical Therapist, Orthopedic· Pasadena, CA
Physical Therapist, Orthopedic in Pasadena, California, registered in NPPES in November 2020. The authorized official on file is David Songchan Im, PT, Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407458631 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 12, 2020 |
| Last updated in NPPES | Dec 23, 2020 |
| Certified by provider | Dec 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | — | — |
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 Part B Supplier - Clinic/Group Practice (CA) |
|---|
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