Individual provider Active NPI

Victoria Cimo, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1871374538
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT303031 Issued in CA
Practice address
5440 Morehouse Dr Ste 2900
San Diego, CA 92121-6704
Phone
(858) 457-8419
Fax
(858) 457-0670
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 PT303031 CA Primary

Addresses

Primary practice location

5440 Morehouse Dr Ste 2900
San Diego, CA 92121-6704

Mailing address

5440 Morehouse Dr Ste 2900
San Diego, CA 92121-6704
Phone (858) 457-8419

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916002275 CA Practitioner - Physical Therapist in Private Practice 2567903719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2000 Van Ness Ave
Suite 603
San Francisco, CA 94109-3016
Phone (415) 440-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT303031CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapy Services, Inc. Physical Therapist CurrentSince Jul 7, 2024 Accepting new patients
Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Akincilar and Prendergast, Inc Physical Therapist PastSince Sep 26, 2023 Accepting new patients

Locations

2855 Telegraph Ave
Ste 301
Berkeley, CA 94705
Phone (510) 922-9836

5440 Morehouse Dr
Ste 2900
San Diego, CA 92121
Phone (858) 457-8419

2000 Van Ness Ave
Ste 603
San Francisco, CA 94109
Phone (415) 440-7600

32 Daniel Webster Hwy
Ste 16
Merrimack, NH 03054
Phone (603) 589-9184

Organizations & group practices 3

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1871374538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 MOREHOUSE DR STE 2900",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216704",
            "telephone_number": "858-457-8419",
            "fax_number": "858-457-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 MOREHOUSE DR STE 2900",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216704",
            "telephone_number": "858-457-8419",
            "fax_number": "858-457-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMO",
        "first_name": "VICTORIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT303031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

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