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

Luis Sedano Ibarra

Individual provider Physical Therapist · NPI 1124908611

Luis Sedano Ibarra is a Physical Therapist in Private Practice in San Jose, California. Qualified in 2022, 4 years ago. Practices with Shepardson Physical Therapy Corporation, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

1314 Lincoln Ave Ste 1F
San Jose, CA 95125-3012
Phone: (831) 999-0880
Fax: (833) 435-3990
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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 303020 (CA)

Record details

NPI number1124908611
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 4, 2025
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Shepardson Physical Therapy Corporation — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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