Alan De Vera, PT, DPT
NPI 1639807670ActiveIndividual· Physical Therapist· Morro Bay, CA
Physical Therapist (PT, DPT) with San Luis Physical Therapy and Orthopedic Rehabilitation Inc, practicing in Morro Bay, California. Medicare paid $135,672 for services to 253 patients in 2024.
Overview
| NPI | 1639807670 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 9, 2022 |
| Last updated in NPPES | Aug 16, 2023 |
| Certified by provider | Aug 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT302453 | 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) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 253 |
|---|---|
| Services billed | 6,524 across 10 procedure codes |
| Paid by Medicare | $135,672 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- San Luis Physical Therapy and Orthopedic Rehabilitation IncSanta Maria, CA · 80 clinicians
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