Derek Anthony Plonka in Santa Monica - Physical Therapist
Derek Anthony Plonka - NPI 1912172438
Derek Anthony Plonka is a Physical Therapist in Santa Monica, California. Derek Anthony Plonka practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Derek Anthony Plonka is 1912172438. The last update date is 2019-04-25.
Derek Anthony Plonka's current location address is 1821 Wilshire Blvd., Santa Monica, California. You can contact this provider via phone number 3104538668 and fax number 3104538662. The mailing address for Derek Anthony Plonka is 1821 Wilshire Blvd., Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Anthony Plonka |
|---|---|
| Address | 1821 Wilshire Blvd., Santa Monica, California |
| Phone Number | 3104538668 |
| Fax Number | 3104538662 |
| Sole Proprietor | Y |
| Credentials | DPT, MTOM |
NPI Number Detail
| NPI Number | 1912172438 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2019-04-25 |
Provider Mailing Address Detail
| Address | 1821 Wilshire Blvd. |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 90403 |
| Phone Number | 3104538668 |
| Fax Number | 3104538662 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2322 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique identifier code issued to Derek Anthony Plonka by the Centers for Medicare & Medicaid Services (CMS)?
The Derek Anthony Plonka has been assigned the NPI (National Provider Identifier) 1912172438. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Derek Anthony Plonka located?
The Derek Anthony Plonka is located at 1821 Wilshire Blvd., Santa Monica, CA 90403.
What is Derek Anthony Plonka's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Derek Anthony Plonka is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912172438 to Derek Anthony Plonka?
The Centers for Medicare & Medicaid Services originally issued the 1912172438 to Derek Anthony Plonka on 2008-04-25.
When was the Derek Anthony Plonka's information last updated?
The Derek Anthony Plonka's information was last updated on 2019-04-25.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC