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

Philip Cordova, PT

Individual provider Physical Therapist · NPI 1063598761

Philip Cordova, PT is a Physical Therapist in Private Practice in Hawthorne, California. Qualified in 2002, 24 years ago. Practices with Southern California Sports Rehabilitation Inc, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
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

11633 Hawthorne Blvd Ste 201
Hawthorne, CA 90250
Phone: (310) 263-1632
Fax: (310) 263-1652
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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 PT28829 (CA)

Record details

NPI number1063598761
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Southern California Sports Rehabilitation Inc. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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