Individual provider Active NPI

Viktoria Sardillo, PT, DPT

  • Physical Therapist
  • Victorville, CA
National Provider Identifier
1194551135
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306626 Issued in CA
Practice address
17270 Bear Valley Rd Ste 105
Victorville, CA 92395-7751
Phone
(760) 245-8828
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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 306626 CA Primary

Addresses

Primary practice location

17270 Bear Valley Rd Ste 105
Victorville, CA 92395-7751

Mailing address

16533 Misanake Rd
Apple Valley, CA 92307-1445
Phone (760) 646-0794

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111000927 CA Practitioner - Physical Therapist in Private Practice 1759872443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Power Center Physical Therapy IncorporatedGroup PAC ID 7214978865, 11 clinicians

Practice addresses (Care Compare)

17270 Bear Valley Rd
Suite 105
Victorville, CA 92395-7751
Phone (760) 245-8828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306626CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Power Center Physical Therapy Incorporated Physical Therapist CurrentSince Jul 26, 2025 Accepting new patients

Locations

15555 Main St
Ste A15
Hesperia, CA 92345
Phone (760) 245-8828

17270 Bear Valley Rd
Ste 105
Victorville, CA 92395
Phone (760) 245-8828

Organizations & group practices 1

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": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1194551135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16533 MISANAKE RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071445",
            "telephone_number": "760-646-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17270 BEAR VALLEY RD STE 105",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957751",
            "telephone_number": "760-245-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDILLO",
        "first_name": "VIKTORIA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.