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DAVID XAVIER PORTILLO PT, DPT
NPI 1982467130
Physical Therapist - Orthopedic in El Segundo, CA

Active since January 31, 2024
325 MAIN ST # 90245, EL SEGUNDO, CA 90245(310) 590-5902 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David Xavier Portillo Pt, Dpt NPPES

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

DAVID XAVIER PORTILLO PT, DPT (NPI 1982467130) is an individual orthopedic provider in El Segundo, California, licensed in California (305433) and active in the NPI registry since January 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1982467130
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDAVID XAVIER PORTILLOCredential: PT, DPT
Location Address325 MAIN ST # 90245El Segundo, CA 90245-3814
Mailing Address3500 W 132nd StHawthorne, CA 90250-5508 · (310) 590-5902
Phone(310) 590-5902
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1982467130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 305433
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
325 MAIN ST # 90245, El Segundo, CA 90245
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Xavier Portillo Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931543832
PECOS Enrollment IDI20240220000103

Medicare Billing Reassignments

4

Medicare enrollment records show David Portillo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Davis And Derosa Physical Therapy, Inc
Same address
Physical Therapist
325 MAIN ST
El Segundo, CA 90245
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1558414102 (310) 648-3167
Manhattan Beach Pacific Physical Therapy Inc
Same address
Physical Therapist
327 MAIN ST
El Segundo, CA 90245
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1396799458 (310) 725-8505
Rise Physical Therapy Inc
92 mi
Physical Therapy
380 STEVENS AVE, SUITE 314
Solana Beach, CA 92075
  • Reassigned Medicare billing, California enrollment
  • 65 clinicians in this Medicare group
NPI 1083038764 (858) 755-5200
California Luna Care Physical Therapy PC
304 mi
Physical Therapist
16185 LOS GATOS BLVD STE 205
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • 1,388 clinicians in this Medicare group
NPI 1689162166 (866) 525-3175

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
531 services39 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
465 services47 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
362 services42 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
304 services36 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
216 services29 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
81 services36 patients

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 David Portillo's NPI number?

The NPI number for David Portillo is 1982467130. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Where is David Portillo located?

David Portillo practices at 325 Main St # 90245, El Segundo, CA 90245. The listed phone number is (310) 590-5902.

What is David Portillo's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is David Portillo enrolled in Medicare?

Yes. David Portillo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Portillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Portillo reassigns Medicare benefits to 4 organizations: Davis And Derosa Physical Therapy, Inc (El Segundo, CA), Manhattan Beach Pacific Physical Therapy Inc (El Segundo, CA), Rise Physical Therapy Inc (Solana Beach, 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 David Portillo'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 David Portillo was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.