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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DEREK ANTHONY PLONKA, DPT, MTOM

Active Sole Proprietor

MR. DEREK ANTHONY PLONKA, DPT, MTOM is a Physical Therapy Assistant healthcare provider located in SANTA MONICA, California. NPI 1912172438 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SANTA MONICA, CA

Registration Details

NPI Number
1912172438
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2008 (18.322338170035 yrs)
Last Updated
Apr 25, 2019
Licenses
02322 (RI)
PT25134 (CA)
16420 (CA)
Sole Proprietor
Yes

Practice Information

Address
1821 WILSHIRE BLVD.
SUITE 605
SANTA MONICA, CA, 90403
Browse CA providers · Browse ZIP 90403
Phone
3104538668
Fax
3104538662
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Acupuncturist

Other Physical Therapy Assistant Providers in SANTA MONICA, CA

Name Credential NPI
MS. JOYCE NISHIMOTO WILKINSON PT 1053395095
MR. JEFFREY LEE BLAKE PT 1407834781
MR. JOHN LOO JOE PT 1386622686
JOHN DRAVILLAS PT, MTC 1386613750
ALISON HANSON PT 1386613677
MICHAEL ALLAN ANDERSEN D.P.T. 1013979434
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.