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

Elizabeth Bongco, PT

Individual provider Physical Therapist · NPI 1821958323

Elizabeth Bongco, PT is a Physical Therapist in Private Practice in Granada Hills, California. Qualified in 2025, 1 year ago. Practices with All Star Physical Therapy, a 150-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

10725 Zelzah Ave Ste B
Granada Hills, CA 91344-4431
Phone: (818) 832-8383
Fax: (818) 832-0606
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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 309121 (CA)

Record details

NPI number1821958323
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice All Star Physical Therapy — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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