NATHAN ALEXANDER NGO (DPT) – Physical Therapist, NPI 1447015482

NATHAN ALEXANDER NGO (DPT) is a healthcare provider. based in San bernardino, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 305584 (CA). The NPI Number for NATHAN ALEXANDER NGO (DPT) is 1447015482

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN ALEXANDER NGO (DPT)
NPI
1447015482
Phone
(909) 890-9030
Address
1845 BUSINESS CENTER DR STE 127
Enumeration Date
19 February 2024
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6263318355
Graduation Year
2023 (3 years ago)
PAC ID
6507203247
Group Practice PAC ID
9234022369
Professional Enrollment ID
I20240318002141
Address ID
CA917911637WE100XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for NATHAN ALEXANDER NGO (DPT)

  • 1845 BUSINESS CENTER DR STE 127

    SAN BERNARDINO, CA 924083434

    Phone: (909) 890-9030

    Fax: (909) 890-4393

    Type: Mailing

  • 100 N BARRANCA ST STE 380

    WEST COVINA, CA 917911623

    Phone: (626) 331-8355

    Fax: (909) 890-4393

    Type: Location

  • 1902 Royalty Dr Ste 220

    Pomona, CA 917673056

    Phone: (909) 622-0006

    Fax: (909) 890-4393

    Type: Location

  • 500 N Central Ave Ste 850

    Glendale, CA 912033354

    Phone: (818) 549-9764

    Fax: (909) 890-4393

    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: 2024-03-18

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
I20240318002141IPhysical 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 92408)

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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: 9234022369View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

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Frequently asked questions

What unique ID ties claims to NATHAN ALEXANDER NGO (DPT)?
NPI 1447015482 is assigned to NATHAN ALEXANDER NGO (DPT) under the national enumeration system.
Is NATHAN ALEXANDER NGO (DPT) active in the national directory?
NATHAN ALEXANDER NGO (DPT)'s public NPI profile is in an active state.
What kind of provider is NATHAN ALEXANDER NGO (DPT)?
The page reflects Physical Therapist for NATHAN ALEXANDER NGO (DPT). Clinical services aligned with this taxonomy classification.
Does NATHAN ALEXANDER NGO (DPT) practice in California?
You will see San Bernardino, California on file for NATHAN ALEXANDER NGO (DPT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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