Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ivan Daniel Vicario, DPT

Individual provider Physical Therapist · NPI 1427481902

Dr. Ivan Daniel Vicario, DPT is a Physical Therapist in Private Practice in Santa Monica, California. Qualified in 2013, 13 years ago. Practices with Gaspar Physical Therapy a Professional Corporation, a 36-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

900 Wilshire Blvd 315
Santa Monica, CA 90401-1872
Phone: (310) 434-2400
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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 40409 (CA)

Record details

NPI number1427481902
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 20, 2013
Last updated in NPPESAugust 26, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Gaspar Physical Therapy A Professional Corporation — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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