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

Dr. Marlou Russel Soriano Garces Jr., DPT

Individual provider Physical Therapist · NPI 1396427977

Dr. Marlou Russel Soriano Garces Jr., DPT is a Physical Therapist in Private Practice in Los Banos, California. Qualified in 2019, 7 years ago. Practices with Sport and Rehab Physical Therapy Incorporated, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2023
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

312 W J St
Los Banos, CA 93635-4073
Phone: (209) 827-6178
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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 304381 (CA)

Record details

NPI number1396427977
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sport And Rehab Physical Therapy Incorporated — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Banos