VICTORIA UYEMURA (PT, DPT) – Physical Therapist, NPI 1124595921

VICTORIA UYEMURA (PT, DPT) is a healthcare provider. based in Costa mesa, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 294906 (CA). The NPI Number for VICTORIA UYEMURA (PT, DPT) is 1124595921

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA UYEMURA (PT, DPT)
NPI
1124595921
Phone
(714) 966-2950
Address
2755 BRISTOL ST STE 130
Enumeration Date
30 October 2018
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3108459690
Graduation Year
2018 (8 years ago)
PAC ID
4688917446
Group Practice PAC ID
5890853766
Professional Enrollment ID
I20190517000821
Address ID
CA900343709LO3283XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for VICTORIA UYEMURA (PT, DPT)

  • Bristol Street, Costa Mesa, Orange County, California, 92617-5135, United States

    COSTA MESA, CA 926265985

    Phone: (714) 966-2950

    Fax: (714) 557-2487

    Type: Location

  • 4892 LINDSTROM AVE

    IRVINE, CA 926042445

    Phone: (949) 517-2988

    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: 2019-05-17

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
I20190517000821IPhysical 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 92626)

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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: 5890853766View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Can I verify VICTORIA UYEMURA (PT, DPT) with an NPI only?
You can start verification with NPI 1124595921 for VICTORIA UYEMURA (PT, DPT), then check state licensing separately.
Can I rely on VICTORIA UYEMURA (PT, DPT) being an active provider?
As of the registry snapshot, VICTORIA UYEMURA (PT, DPT) is marked active.
What is VICTORIA UYEMURA (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for VICTORIA UYEMURA (PT, DPT) here. Clinical services aligned with this taxonomy classification.
Where is VICTORIA UYEMURA (PT, DPT) based?
VICTORIA UYEMURA (PT, DPT) is tied to Costa Mesa, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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