Kristian Jared Ilustre, DPT
NPI 1679489942ActiveIndividual· Physical Therapist· Riverside, CA
Physical Therapist (DPT) in Riverside, California, licensed in CA, with an NPI issued in August 2026. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1679489942 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Aug 19, 2026 |
| Last updated in NPPES | Aug 19, 2026 |
| Certified by provider | Aug 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 310784 | 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) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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