Active NPI
Victor S Koo, DPT
- Physical Therapist
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT302741
- 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
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 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 54.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT302741 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Therapy Solutions | Physical Therapist | Current | Accepting new patients |
| Proactive Physical Therapy & Sports Medicine Inc | Physical Therapist | Current | Accepting new patients |
| DPT Holdings PLLC | Physical Therapist | Current | Accepting new patients |
| California Therapy Solutions | Current | 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.
-
- Physical Therapy Clinic/Center
- Carlsbad, CA
- NPI 1285729509
Physical Therapist
-
- Physical Therapy Clinic/Center
- Fountain Valley, CA
- NPI 1548329519
Physical Therapist
-
- Specialist
- Huntington Beach, CA
- NPI 1265869523
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.