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

Individual provider Physical Therapist · NPI 1568497659

Dacosta Alonzo Collymore, RPT is a Physical Therapist in Private Practice in Culver City, California. Qualified in 1994, 32 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
32
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

5000 Overland Ave Ste 4
Culver City, CA 90230-4995
Phone: (310) 836-7650
Fax: (310) 836-7651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 20709 (CA)

Record details

NPI number1568497659
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Culver City