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

Jonathan Mao, DPT

Individual provider Physical Therapist · NPI 1801578414

Jonathan Mao, DPT is a Physical Therapist in Private Practice in Los Angeles, California. Graduated from Herman Ostrow School of Dentistry of USC in 2023, 3 years ago. Practices with Vert Sports LLC, a 2-clinician group. Licensed in California.

Years since qualifying
3
Trained at
Herman Ostrow School of Dentistry of USC
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

12400 Santa Monica Blvd
Los Angeles, CA 90025-2522
Phone: (310) 264-8385
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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 304346 (CA)

Record details

NPI number1801578414
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolHERMAN OSTROW SCHOOL OF DENTISTRY OF USC
Graduated 2023 (3 years in practice)
Group practice Vert Sports Llc — 2 clinicians
Accepts Medicare assignment Not indicated

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