CUSTOM PHYSICAL THERAPY
NPI 1639107626
Physical Therapist - Orthopedic in Thousand Oaks, CA
About Custom Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CUSTOM PHYSICAL THERAPY (NPI 1639107626) is a healthcare organization registered as an orthopedic in Thousand Oaks, California and active in the NPI registry since June 2006. The organization lists Linda Paolone, Operations Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Custom Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Custom Physical Therapy, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Custom P.T., A Physical Therapy Corp's NPI number?
The NPI number for Custom P.T., A Physical Therapy Corp is 1639107626. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Custom Physical Therapy.
Where is Custom P.T., A Physical Therapy Corp located?
Custom P.T., A Physical Therapy Corp is located at 325 Rolling Oaks Drive Suite 210, Thousand Oaks, CA 91361. The listed phone number is (805) 446-3141.
What is Custom P.T., A Physical Therapy Corp's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Custom P.T., A Physical Therapy Corp enrolled in Medicare?
Yes. Custom P.T., A Physical Therapy Corp is registered in the Medicare PECOS enrollment system.
When is Custom P.T., A Physical Therapy Corp'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 October 31, 2026. 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 Custom P.T., A Physical Therapy Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Custom P.T., A Physical Therapy Corp. 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, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Custom P.T., A Physical Therapy Corp was last updated on November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Custom Physical Therapy · NPI 1639107626
Orthopedic organization in Thousand Oaks, California. Organization record, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1639107626 (Entity type: Organization)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Legal business name:** Custom P.t., A Physical Therapy Corp
- **Organization subpart:** No
- **Authorized official:** Linda Paolone, OPERATIONS MANAGER
## Practice location
- **Address:** 325 ROLLING OAKS DRIVE, SUITE 210, Thousand Oaks, CA 91361-1088
- **Phone:** (805) 446-3141 · **Fax:** (805) 446-3140
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (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:** 5 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2014
- **Other identifiers:** Medicare PIN W19073 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639107626) · Data from the CMS NPPES public registry.