HARBOR PHYSICAL THERAPY & SPORTS MEDICAL
NPI 1255349676
Physical Therapist - Orthopedic in San Pedro, CA
About Harbor Physical Therapy & Sports Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARBOR PHYSICAL THERAPY & SPORTS MEDICAL (NPI 1255349676) is a healthcare organization registered as an orthopedic in San Pedro, California and active in the NPI registry since August 2006. The organization lists Michael T Odonnell, Owner/director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Harbor Physical Therapy & Sports Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Harbor Physical Therapy & Sports Medical, which bills Medicare for the services they deliver. Of these, 11 practice at this address. They are listed nearest first.
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Harbor Physical Therapy & Sports Medical's NPI number?
The NPI number for Harbor Physical Therapy & Sports Medical is 1255349676. It was assigned to this organization in the NPPES registry on August 3, 2006.
Where is Harbor Physical Therapy & Sports Medical located?
Harbor Physical Therapy & Sports Medical is located at 1294 West 6th Street Suite 101, San Pedro, CA 90732. The listed phone number is (310) 547-1850.
What is Harbor Physical Therapy & Sports Medical's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Harbor Physical Therapy & Sports Medical enrolled in Medicare?
Yes. Harbor Physical Therapy & Sports Medical is registered in the Medicare PECOS enrollment system.
When is Harbor Physical Therapy & Sports Medical's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Harbor Physical Therapy & Sports Medical?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Harbor Physical Therapy & Sports Medical. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 11 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Harbor Physical Therapy & Sports Medical was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Harbor Physical Therapy & Sports Medical · NPI 1255349676
Orthopedic organization in San Pedro, California. Organization record, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1255349676 (Entity type: Organization)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Organization subpart:** No
- **Authorized official:** Michael Odonnell, OWNER/DIRECTOR
## Practice location
- **Address:** 1294 WEST 6TH STREET, SUITE 101, San Pedro, CA 90732-2997
- **Phone:** (310) 547-1850 · **Fax:** (310) 547-1972
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 16 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 11 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255349676) · Data from the CMS NPPES public registry.