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

Nicolas Ghazzoul

Individual provider Physical Therapist · NPI 1528703642

Nicolas Ghazzoul is a Physical Therapist in Private Practice in Los Gatos, California. Qualified in 2016, 10 years ago. Practices with Interface Rehab, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

16185 Los Gatos Blvd Ste 205
Los Gatos, CA 95032-4569
Phone: (866) 839-6979
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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 292434 (CA)

Record details

NPI number1528703642
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2022
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022

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 Interface Rehab, Inc. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Gatos