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

Michael Jon Koerner, PT

Individual provider Physical Therapist · NPI 1689747636

Michael Jon Koerner, PT is a Physical Therapist in Private Practice in Tustin, California. Qualified in 1984, 42 years ago. Practices with The Injury Recovery Center Inc, a 2-clinician group. Licensed in California.

Years since qualifying
42
Licensed in
CA
In the registry since
2006
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

17352 Vinewood Ave
Tustin, CA 92780-2551
Phone: (714) 730-1525
Fax: (714) 730-0369
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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 PT12770 (CA)

Record details

NPI number1689747636
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address17352 Vinewood Ave, Tustin, CA 92780-2551

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice The Injury Recovery Center Inc. — 2 clinicians
Accepts Medicare assignment Not indicated

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