Active NPI
Viktoria Sardillo, PT, DPT
- Physical Therapist
- Victorville, CA
National Provider Identifier
1194551135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 306626
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 306626 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Power Center Physical Therapy Incorporated | Physical Therapist | Current | 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.
-
- Physical Therapist
- Victorville, CA
- NPI 1508948837
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
- Carmen Castillo Santos, M.D.
- Ellen-Ruby S. Santos
- Jestina Areece Santos
- Melody Sapp
- Alex Kara Bernales Sardillo, PT, DPT
- Yvette B Sardillo, PT
- Satori Specialty Pharmacy
- Saude Consulting Services, LLC
- Savanna Olsson, Pmhnp: a Professional Nursing Corporation
- Save Dental, Practice of Roy D. Soriano, D.D.S., Inc
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.