Individual provider Active NPI

Patrick Everett, DPT

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1386032365
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42525 Issued in CA
Practice address
1111 Baker St
Costa Mesa, CA 92626-4138
Phone
(949) 836-5239
NPI assigned
Dec 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25281 MD
Physical Therapist 225100000X 42525 CA Primary

Addresses

Primary practice location

1111 Baker St
Costa Mesa, CA 92626-4138

Mailing address

1605 White Oak St
Costa Mesa, CA 92626-3724
Phone (949) 836-5239

Other identifiers 1

IdentifierTypeStateIssuer
1386032365MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150918002179 CA Practitioner - Physical Therapist in Private Practice 9638485840 Reassigns benefits to 1 organization
Practice locations: Costa Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cuirim Sports Physical Therapy IncGroup PAC ID 4082027537, 5 clinicians

Practice addresses (Care Compare)

1111 Baker St
Costa Mesa, CA 92626-4138
Phone (949) 836-5239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25281MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cuirim Sports Physical Therapy Inc Physical Therapist CurrentSince Mar 13, 2019 Accepting new patients

Locations

2075 Newport Blvd
Ste 107
Costa Mesa, CA 92627
Phone (443) 797-2766

1111 Baker St
Costa Mesa, CA 92626
Phone (844) 386-0946

1111 Baker St
Ste 107
Costa Mesa, CA 92626

766 Saint Clair St
Costa Mesa, CA 92626
Phone (206) 999-9153

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1386032365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WHITE OAK ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263724",
            "telephone_number": "949-836-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BAKER ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264138",
            "telephone_number": "949-836-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-29",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25281",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386032365",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.