Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gary M Souza, DPT, OCS

Individual provider Physical Therapist · NPI 1043315765

Gary M Souza, DPT, OCS is a Physical Therapist in Private Practice in Diamond Bar, California. Qualified in 2000, 26 years ago. Practices with Pomona Valley Orthopedic and Sports Physical Therapy Inc, a 15-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
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

1370 Valley Vista Dr Ste 145
Diamond Bar, CA 91765-3950
Phone: (909) 861-3511
Fax: (909) 860-7900
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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 PT10462 (CA)

Record details

NPI number1043315765
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , OCS
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJanuary 20, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Pomona Valley Orthopedic And Sports Physical Therapy Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Diamond Bar