Jimmy Phan, PT, DPT
NPI 1881131118ActiveIndividual· Physical Therapist, Geriatrics· Laguna Hills, CA
Physical Therapist, Geriatrics (PT, DPT) in Laguna Hills, California, licensed in CA, with an NPI issued in January 2017.
Overview
| NPI | 1881131118 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jan 25, 2017 |
| Last updated in NPPES | Aug 5, 2019 |
| Reactivated | Dec 26, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Geriatrics Primary | 2251G0304X | PT293952 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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