Nicole Bergesch Dela Cruz, PT
NPI 1730646779ActiveIndividual· Physical Therapist· Arroyo Grande, CA
Physical Therapist (PT) with San Luis Physical Therapy and Orthopedic Rehabilitation Inc, practicing in Arroyo Grande, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1730646779 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Feb 26, 2019 |
| Last updated in NPPES | Dec 17, 2024 |
| Certified by provider | Dec 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 296285 | 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) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| 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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