Individual provider Active NPI

Harmandeep Sidhu, DPT

  • Sports Physical Therapist
  • Irvine, CA
National Provider Identifier
1124809496
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
304949 Issued in CA
Practice address
15350 Barranca Pkwy
Irvine, CA 92618-2215
Phone
(408) 358-1460
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 304949 CA Primary

Addresses

Primary practice location

15350 Barranca Pkwy
Irvine, CA 92618-2215

Mailing address

12806 Beechfield Dr
Bakersfield, CA 93312-5819
Phone (661) 345-4899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202000892 CA Practitioner - Physical Therapist in Private Practice 4385097641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean Sports Consultants Physical Therapy IncGroup PAC ID 7214238112, 4 clinicians

Practice addresses (Care Compare)

201 Calle de Los Molinos
San Clemente, CA 92672-3874
Phone (949) 388-5692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304949CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehab & Sports Therapy CurrentSince Jan 29, 2024 Accepting new patients
Dean Sports Consultants Physical Therapy Inc Sports CurrentSince Apr 2, 2026 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther CurrentSince Jan 29, 2024 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Sports Current Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877

2880 Michelle
Irvine, CA 92606
Phone (562) 732-5539

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

24491 Alicia Pkwy
Mission Viejo, CA 92691
Phone (949) 876-5299

201 Calle de los Molinos
San Clemente, CA 92672
Phone (949) 388-5692

19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 4

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1124809496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12806 BEECHFIELD DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933125819",
            "telephone_number": "661-345-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182215",
            "telephone_number": "408-358-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "HARMANDEEP",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "304949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.