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

Lianne K Koo, DPT

Individual provider Physical Therapist · NPI 1063799898

Lianne K Koo, DPT is a Physical Therapist in Private Practice in El Segundo, California. Qualified in 2011, 15 years ago. Practices with Davis and Derosa Physical Therapy Inc, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2011
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

325 Main St
El Segundo, CA 90245
Phone: (310) 648-3167
Fax: (310) 648-3175
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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 PT38056 (CA)

Record details

NPI number1063799898
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 8, 2011
Last updated in NPPESAugust 9, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Davis And Derosa Physical Therapy Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in El Segundo