California Rehabilitation & Sports Therapy a California Physical Ther
Organization Active NPI Multi-Specialty Clinic/Center · Mission Viejo, CA
NPI 1386696409 · NPPES record last updated Jul 8, 2026
Key facts
- NPI
- 1386696409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER
- Practice address
- 26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691-5313 - Phone
- (949) 206-1700
- Fax
- (949) 206-1800
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Pace
- Title
- Coo
- Phone
- (213) 804-1712
Other NPIs on the same Medicare enrollment 24
Corporate family (same tax ID) 27
Practitioners 296
-
Alexia Kate Agamata, PT, DPT, CSCS
-
Alexander Albarian, PT, DPT
-
Shiva Aslanpoor, PT DPT
-
Dylan Bailey, DPT
-
Joanna C Baum, P.T.
-
David V Bien, P.T.
-
Anthony F Bisaccia, P.T.
-
Peter Bishay, DPT
-
Vicki E Breceda, OT
-
Julie A Bright, O.T.
-
Kathleen Minh Khanh Bui-Nguyen, PT, DPT
-
Kaitlyn R Campbell, DPT
-
Kendrick R Carlton, MPT
-
Keith Paul Cavanaugh, OTR/L
-
Julia Charlesworth, PT, DPT
-
Kathleen Louise Charron, PT, DPT
-
Alyssa Chavez, PT, DPT
-
Henry Cheong, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040120001115 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6709788896 |
Receives reassigned benefits from 274 practitioners 25 other NPIs on this enrollment Practice locations: Long Beach, CA; Mission Viejo, CA; Newport Beach, CA; Northridge, CA; Norwalk, CA; Orange, CA; Rancho Mission Viejo, CA; Rancho Santa Margarita, CA… |
National Provider Directory
- Tax ID family
- Ca Rehab Sports Thpy
Locations
26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691
Phone (949) 206-1700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | CA | ||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691-5313
Mailing address
2600 Dallas Pkwy Ste 290
Frisco, TX 75034-7493
Phone (945) 050-0010
Other names
- California Rehabilitation & Sports Therapy
- California Rehab and Sports Therapy
Other providers in Mission Viejo, CA
- California Care Detox & Treatment
- California Coastal Dermatology a Medical Corporation
- California Emergency Physc Med GRP
- California Emergency Physicians
- California Physician Consultants, PC
- California Specialty Surgery Center, LLC
- California Transitional Care Inc
- California Wellness Center Inc
- Rosemarie Calleros
- Cecylia Calvario
All providers in Mission Viejo, CA · Multi-Specialty Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.