SCOTT AGBINCOLA (PT) – Physical Therapist, NPI 1700818192

SCOTT AGBINCOLA (PT) is a healthcare provider. based in El segundo, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT28894 (CA). The NPI Number for SCOTT AGBINCOLA (PT) is 1700818192

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT AGBINCOLA (PT)
NPI
1700818192
Phone
(310) 643-9016
Address
2250 PARK PL
Enumeration Date
7 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
8665253175
Graduation Year
2003 (23 years ago)
PAC ID
9032298369
Group Practice PAC ID
9638427834
Professional Enrollment ID
I20080512000290
Address ID
CA950324569LO16185BLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for SCOTT AGBINCOLA (PT)

  • Bay Club, 2200;2250, Park Place, El Segundo, Los Angeles County, California, 90245, United States

    EL SEGUNDO, CA 902454908

    Phone: (310) 643-9016

    Fax: (310) 536-0177

    Type: Location

  • Paseo del Rey, Playa del Rey, Los Angeles, Los Angeles County, California, 90293, United States

    PLAYA DEL REY, CA 902938345

    Phone: (310) 643-9016

    Fax: (310) 536-0177

    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: 2008-05-12

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
I20080512000290IPhysical 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 90245)

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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: 9638427834View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Where can patients find SCOTT AGBINCOLA (PT)'s NPI?
You can confirm SCOTT AGBINCOLA (PT) with NPI 1700818192; it appears in the national provider directory.
Is SCOTT AGBINCOLA (PT)'s NPI currently valid?
The extract we use shows SCOTT AGBINCOLA (PT) as active.
What kind of provider is SCOTT AGBINCOLA (PT)?
The page reflects Physical Therapist for SCOTT AGBINCOLA (PT). Clinical services aligned with this taxonomy classification.
What location metadata exists for SCOTT AGBINCOLA (PT)?
The page summarizes El Segundo, California for SCOTT AGBINCOLA (PT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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