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

Mina Sidarous, PT

Individual provider Physical Therapist · NPI 1851866644

Mina Sidarous, PT is a Physical Therapist in Private Practice in Long Beach, California. Qualified in 2016, 10 years ago. Practices with Commons Clinic Medical Group, PC, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
10
Licensed in
CA, NY
In the registry since
2018
Specialties on file
2
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

3828 Schaufele Ave Ste 320
Long Beach, CA 90808-1793
Phone: (562) 348-4588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1045 W Redondo Beach Blvd, Gardena, CA 90247-4128 — (310) 768-8193

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 300536 (CA)
Physical Therapist Taxonomy 225100000X · Licence 043399-1 (NY)

Record details

NPI number1851866644
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 8, 2018
Last updated in NPPESSeptember 27, 2022
Certification dateAugust 11, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Commons Clinic Medical Group, Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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