Dacosta Collymore
NPI 1609058445ActiveOrganization· Physical Therapist· Culver City, CA
Physical Therapist in Culver City, California, registered in NPPES in December 2007. The authorized official on file is Dacosta Alonzo Collymore, RPT, Ceo Owner.
Overview
| NPI | 1609058445 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2007 |
| Last updated in NPPES | Jun 24, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 20709 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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