Organization Active NPI

Coury & Buehler Physical Therapy, Inc.

  • Physical Therapist
  • Lake Forest, CA
National Provider Identifier
1225614332
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COURY & BUEHLER PHYSICAL THERAPY, INC.
Practice address
74 Icon
Lake Forest, CA 92610-3000
Phone
(949) 954-0090
Fax
(949) 988-0287
NPI assigned
Mar 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Letitia Mae Samonte
Title
VP of Finance
Phone
(714) 988-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

74 Icon
Lake Forest, CA 92610-3000

Mailing address

3230 E Imperial Hwy Ste 100
Brea, CA 92821-6735
Phone (714) 988-8113

Other practice location 1

100 Spectrum Center Drive
Ste 900
Irvine, CA 92618
Phone (949) 954-0090

Other names 3

  • COURY & BUEHLER PHYSICAL THERAPY Doing business as
  • DANCEPREHAB PHYSICAL THERAPY, P.C. Doing business as
  • PHYSICAL THERAPY - OC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coury Buehler Physical Therapy Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Spectrum Center Dr
Ste 900
Irvine, CA 92618
Phone (714) 579-9304

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1225614332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E IMPERIAL HWY STE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216735",
            "telephone_number": "714-988-8113",
            "fax_number": "714-988-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ICON",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926103000",
            "telephone_number": "949-954-0090",
            "fax_number": "949-988-0287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Spectrum Center Drive",
            "address_2": "Ste 900",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "92618",
            "country_code": "US",
            "telephone_number": "949-954-0090",
            "fax_number": "949-988-0287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COURY & BUEHLER PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "SAMONTE",
        "authorized_official_first_name": "LETITIA MAE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "714-988-8113"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COURY & BUEHLER PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DANCEPREHAB PHYSICAL THERAPY, P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHYSICAL THERAPY - OC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.