Individual provider Active NPI

Victor S Koo, DPT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1912629387
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT302741 Issued in CA
Practice address
6865 Alton Pkwy Ste 110
Irvine, CA 92618-3740
Phone
(949) 679-2933
NPI assigned
Sep 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 PT302741 CA Primary

Addresses

Primary practice location

6865 Alton Pkwy Ste 110
Irvine, CA 92618-3740

Mailing address

485 E 17TH St Ste 650
Costa Mesa, CA 92627-4706
Phone (949) 722-7374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102001876 CA Practitioner - Physical Therapist in Private Practice 6709253800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

15000 Kensington Park Dr
Suite 110
Tustin, CA 92782-1831
Phone (657) 859-6458

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
85
Improvement activities
40
Cost
54.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT302741CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Therapy Solutions Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Mar 28, 2025 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
California Therapy Solutions CurrentSince Sep 26, 2022 Accepting new patients

Locations

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

485 E 17th St
Ste 650
Costa Mesa, CA 92627
Phone (949) 722-7374

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

6865 Alton Pkwy
Ste 110
Irvine, CA 92618
Phone (949) 679-2933

26522 La Alameda
Ste 100
Mission Viejo, CA 92691
Phone (949) 582-2555

15000 Kensington Park Dr
Ste 110
Tustin, CA 92782
Phone (657) 859-6458

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1912629387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 E 17TH ST STE 650",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274706",
            "telephone_number": "949-722-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6865 ALTON PKWY STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183740",
            "telephone_number": "949-679-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "VICTOR",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302741",
            "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 Sep 13, 2022; 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.