Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corwin Patis, PT, DPT

Individual provider Physical Therapist · NPI 1417479379

Corwin Patis, PT, DPT is a Physical Therapist in Private Practice in Santa Monica, California. Qualified in 2017, 9 years ago. Practices with Lake Washington Physical Therapy LLC, a 55-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1301 20th St Ste 300A
Santa Monica, CA 90404-2050
Phone: (310) 582-7111
Fax: (310) 315-4069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 68 Willow Rd, Menlo Park, CA 94025 — (877) 390-6659
  • 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170-6224 — (866) 991-0900

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 293225 (CA)

Record details

NPI number1417479379
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJuly 12, 2017
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lake Washington Physical Therapy Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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