PENELOPE VAN OSTEN (MPT) – Physical Therapist, NPI 1205949054

PENELOPE VAN OSTEN (MPT) is a healthcare provider. based in San diego, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 10041 (WI). The NPI Number for PENELOPE VAN OSTEN (MPT) is 1205949054

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
PENELOPE VAN OSTEN (MPT)
NPI
1205949054
Phone
(858) 277-2758
Address
5575 RUFFIN RD
Enumeration Date
16 August 2006
Last Update Date
11 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
2623751075
Graduation Year
2002 (24 years ago)
PAC ID
3678985173
Group Practice PAC ID
3779688403
Professional Enrollment ID
I20201207001266
Address ID
WI532224106WA2900XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for PENELOPE VAN OSTEN (MPT)

  • 5575, Ruffin Road, San Diego, San Diego County, California, 92123, United States

    SUITE 100

    SAN DIEGO, CA 921231380

    Phone: (858) 277-2758

    Fax: (858) 277-2097

    Type: Mailing

  • 2900 N 117TH ST

    WAUWATOSA, WI 532224106

    Phone: (262) 375-1075

    Type: Mailing

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: 2020-12-07

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
I20201207001266IPhysical Therapist In Private PracticeWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes28723$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18020$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16723$0
97530Therapy procedure using functional activities11221$0
97535Training for self-care or home management, each 15 minutes8913$0
View full utilization report →

Insurance plans in this area (ZIP 92123)

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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: 3779688403View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeIL
-WI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

Does PENELOPE VAN OSTEN (MPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PENELOPE VAN OSTEN (MPT) uses 1205949054.
Is PENELOPE VAN OSTEN (MPT) listed as active for patients and plans?
The listing shows PENELOPE VAN OSTEN (MPT) as active in the NPI system.
What is PENELOPE VAN OSTEN (MPT)'s primary classification?
Physical Therapist is the headline specialty for PENELOPE VAN OSTEN (MPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for PENELOPE VAN OSTEN (MPT)?
PENELOPE VAN OSTEN (MPT)'s geographic hint is San Diego, California in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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