Divine Health Provider Physical Therapy Inc
NPI 1386899763 · Physical Therapy Clinic/Center · Simi Valley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Divine Health Provider Physical Therapy Inc is a Physical Therapy Clinic/Center organization in Simi Valley, CA (NPI 1386899763).
Provider details
- NPI number
- 1386899763
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonah Tan, Director(805) 581-4266
- License
- PT24912 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Simi Physical Therapy Center
Additional practice locations (1)
- 3200 E Los Angeles AveSuite 20Simi Valley, CA 93065-3971Phone: (805) 581-4266Fax: (805) 581-5049
Registry dates
- Enumerated
- 2008-11-26
- Last updated
- 2022-07-21
Frequently asked questions
- What is Divine Health Provider Physical Therapy Inc's NPI number?
- Divine Health Provider Physical Therapy Inc's National Provider Identifier (NPI) is 1386899763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Health Provider Physical Therapy Inc?
- Divine Health Provider Physical Therapy Inc is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Divine Health Provider Physical Therapy Inc located?
- Divine Health Provider Physical Therapy Inc's practice location on file with NPPES is 1687 Erringer Rd Ste 109, Simi Valley, CA 93065-6509.
- What is Divine Health Provider Physical Therapy Inc's phone number?
- The practice phone number listed in the NPPES registry for Divine Health Provider Physical Therapy Inc is (805) 581-4266.
- Does Divine Health Provider Physical Therapy Inc accept Medicare?
- Divine Health Provider Physical Therapy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Divine Health Provider Physical Therapy Inc?
- The authorized official listed on Divine Health Provider Physical Therapy Inc's NPPES record is Jonah Tan, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Health Provider Physical Therapy Inc's NPI active?
- Yes — Divine Health Provider Physical Therapy Inc's NPI (1386899763) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.