Individual provider Active NPI

Daniel Centeno, PT, DPT

  • Physical Therapist
  • Newbury Park, CA
National Provider Identifier
1104705680
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308449 Issued in CA
Practice address
1011 Rancho Conejo Blvd
Newbury Park, CA 91320-1718
Phone
(844) 427-1476
NPI assigned
Aug 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 308449 CA Primary

Addresses

Primary practice location

1011 Rancho Conejo Blvd
Newbury Park, CA 91320-1718

Mailing address

1011 Rancho Conejo Blvd
Newbury Park, CA 91320-1718

Other practice location 1

22151 Ventura Blvd Ste 201
Woodland Hills, CA 91364-5737
Phone (818) 888-7772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
308449CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Home Health, Inc. PastSince Apr 17, 2022 Accepting new patients
Body Dynamix Chiropractic and Performance Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1104705680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 RANCHO CONEJO BLVD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 RANCHO CONEJO BLVD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201718",
            "telephone_number": "844-427-1476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22151 Ventura Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913645737",
            "country_code": "US",
            "telephone_number": "818-888-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTENO",
        "first_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.