Active NPI
Patrick Everett, DPT
- Physical Therapist
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42525
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386032365 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25281 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuirim Sports Physical Therapy Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Costa Mesa, CA
- NPI 1801435193
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.