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

Mr. Derek Anthony Plonka, DPT, MTOM

Individual provider Physical Therapist · NPI 1912172438

Mr. Derek Anthony Plonka, DPT, MTOM is a Physical Therapist in Private Practice in Santa Monica, California. Qualified in 1999, 27 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Rhode Island.

Years since qualifying
27
Licensed in
CA, RI
In the registry since
2008
Specialties on file
3
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

1821 Wilshire Blvd Ste 605
Santa Monica, CA 90403
Phone: (310) 453-8668
Fax: (310) 453-8662
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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 PT25134 (CA)
Physical Therapist Taxonomy 225100000X · Licence 02322 (RI)
Acupuncturist Taxonomy 171100000X · Licence 16420 (CA)

Record details

NPI number1912172438
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , MTOM
Sole proprietorYes
NPI enumeratedApril 25, 2008
Last updated in NPPESApril 25, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Monica