Individual provider Active NPI

Ko Chiao, PT, DPT

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1912447517
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292812 Issued in CA
Practice address
1811 Centinela Ave
Santa Monica, CA 90404-4203
Phone
(310) 573-9553
NPI assigned
Mar 1, 2017
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 292812 CA Primary

Addresses

Primary practice location

1811 Centinela Ave
Santa Monica, CA 90404-4203

Mailing address

1811 Centinela Ave
Santa Monica, CA 90404-4203
Phone (310) 573-9553

Other identifiers 1

IdentifierTypeStateIssuer
292812OtherCAPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718003595 CA Practitioner - Physical Therapist in Private Practice 2466722814 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Cypress Physical Therapy Center IncGroup PAC ID 5890141279, 6 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

1811 Centinela Ave
Santa Monica, CA 90404-4203
Phone (310) 573-9553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292812CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 15, 2025 Accepting new patients
Chang-Yu J Hsieh Physical Therapist CurrentSince Jan 22, 2018 Accepting new patients
Cypress Physical Therapy Center, Inc. Physical Therapist CurrentSince Oct 16, 2023 Accepting new patients
West Coast Spine Restoration Center, Inc Physical Therapist CurrentSince Jun 26, 2017 Accepting new patients

Locations

320 S Garfield Ave
Ste 302
Alhambra, CA 91801
Phone (626) 269-0991

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

860 Via de la Paz
Ste B1
Pacific Palisades, CA 90272
Phone (310) 573-9553

6177 River Crest Dr
Ste A
Riverside, CA 92507
Phone (951) 653-4480

1811 Centinela Ave
Santa Monica, CA 90404
Phone (310) 573-9553

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1912447517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 CENTINELA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044203",
            "telephone_number": "310-573-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 CENTINELA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044203",
            "telephone_number": "310-573-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAO",
        "first_name": "KO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "292812",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.