MIGUEL ITURALDE (DPT) – Physical Therapist, NPI 1033096417

MIGUEL ITURALDE (DPT) is a healthcare provider. based in Long beach, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 308520 (CA). The NPI Number for MIGUEL ITURALDE (DPT) is 1033096417

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
MIGUEL ITURALDE (DPT)
NPI
1033096417
Phone
(714) 723-1147
Address
6767 E PREMIUM ST
Enumeration Date
19 August 2025
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7142293660
Graduation Year
2025 (1 year ago)
PAC ID
4880199595
Group Practice PAC ID
1557427804
Professional Enrollment ID
I20250924002298
Address ID
CA906304744CY10601STXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MIGUEL ITURALDE (DPT)

  • 6767 E PREMIUM ST

    LONG BEACH, CA 908084136

    Phone: (714) 723-1147

    Type: Mailing

  • 10601 WALKER ST STE 200

    CYPRESS, CA 906304744

    Phone: (714) 798-7900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250924002298IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90808)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557427804View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Can I verify MIGUEL ITURALDE (DPT) with an NPI only?
You can start verification with NPI 1033096417 for MIGUEL ITURALDE (DPT), then check state licensing separately.
Can I rely on MIGUEL ITURALDE (DPT) being an active provider?
As of the registry snapshot, MIGUEL ITURALDE (DPT) is marked active.
What is MIGUEL ITURALDE (DPT) best known for clinically?
Directory data describes MIGUEL ITURALDE (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MIGUEL ITURALDE (DPT)?
MIGUEL ITURALDE (DPT)'s geographic hint is Long Beach, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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