NPIMap

Organization Active NPI

Coury & Buehler Physical Therapy - Lake Forest, Inc.

Doing business as Coury & Buehler Physical Therapy - Lake Forest

  • Physical Therapist
  • Lake Forest, CA
National Provider Identifier
1316342033
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COURY & BUEHLER PHYSICAL THERAPY - LAKE FOREST, INC.
Doing business as
Coury & Buehler Physical Therapy - Lake Forest
Practice address
24301 Muirlands Blvd
Suite T
Lake Forest, CA 92630-3627
Phone
(949) 271-0012
Fax
(949) 271-0013
NPI assigned
Oct 23, 2014
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Tia Samonte
Title
Credentialing Manager
Phone
(714) 988-8113

Specialties & licenses 1

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

Addresses

Primary practice location

24301 Muirlands Blvd
Suite T
Lake Forest, CA 92630-3627

Mailing address

24301 Muirlands Blvd
Suite T
Lake Forest, CA 92630-3627
Phone (949) 271-0012

Other names 1

  • Coury & Buehler Physical Therapy - Lake Forest Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150407002246 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082932819 Receives reassigned benefits from 88 practitioners
Practice locations: Lake Forest, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1316342033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 MUIRLANDS BLVD",
            "address_2": "SUITE T",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303627",
            "telephone_number": "949-271-0012",
            "fax_number": "949-271-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24301 MUIRLANDS BLVD",
            "address_2": "SUITE T",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303627",
            "telephone_number": "949-271-0012",
            "fax_number": "949-271-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURY & BUEHLER PHYSICAL THERAPY - LAKE FOREST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "SAMONTE",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "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 - Lake Forest",
            "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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.