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

Ismansjah Soekardi, PT

Individual provider Physical Therapist · NPI 1215054721

Ismansjah Soekardi, PT is a Physical Therapist in Private Practice in Aptos, California. Qualified in 1999, 27 years ago. Practices with California Orthopedic and Sports Therapy Rehabilitation Services, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2007
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

6193 Soquel Dr
Aptos, CA 95003
Phone: (831) 462-1212
Fax: (831) 462-1221
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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 PT25843 (CA)

Record details

NPI number1215054721
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 22, 2007
Last updated in NPPESOctober 4, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice California Orthopedic And Sports Therapy Rehabilitation Services, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Aptos