MICHAEL ITO PT
NPI 1457895633
Physical Therapist in Costa Mesa, CA

Active since December 07, 2016
2863 SERANG PL, COSTA MESA, CA 92626(949) 439-5344 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2021, Dec 22, 2021, Sep 3, 2019 (3 updates tracked since 2019).

About Michael Ito Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ITO PT (NPI 1457895633) is an individual physical therapist in Costa Mesa, California, licensed in California (PT292464) and active in the NPI registry since December 2016. He maintains a secondary practice location in Menlo Park.

NPPES Registry Identity

NPI1457895633
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMICHAEL ITOCredential: PT
Location Address2863 SERANG PLCosta Mesa, CA 92626-4826
Mailing Address2863 Serang PlCosta Mesa, CA 92626-4826
Sole ProprietorYes
Enumeration DateDecember 7, 2016
Last NPPES UpdateDecember 29, 20213 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1457895633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · PT292464
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 perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2863 SERANG PL, Costa Mesa, CA 92626

Secondary Practice Location 1

Location 168 Willow RdMenlo Park, CA 94025-3653 · Phone (866) 839-6979

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Ito Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Ito reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Physical Therapist
16185 LOS GATOS BLVD STE 205
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • 1,388 clinicians in this Medicare group

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 Michael Ito's NPI number?

The NPI number for Michael Ito is 1457895633. It was assigned to this individual provider in the NPPES registry on December 7, 2016.

Where is Michael Ito located?

Michael Ito practices at 2863 Serang Pl, Costa Mesa, CA 92626. The listed phone number is (949) 439-5344.

What is Michael Ito's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Michael Ito enrolled in Medicare?

Yes. Michael Ito is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Ito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ito reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Anaheim, CA) and California Luna Care Physical Therapy PC (Los Gatos, CA). Each 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 Michael Ito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Ito was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.