NPIMap

Organization Active NPI

South Coast Pediatric Physical Therapy, Inc

  • Speech-Language Pathologist
  • Cypress, CA
National Provider Identifier
1467604694
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 16790 Issued in CA
Legal business name
SOUTH COAST PEDIATRIC PHYSICAL THERAPY, INC
Practice address
11205 Knott Ave. Suite E
Cypress, CA 90630
Phone
(714) 893-7399
Fax
(714) 893-7389
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Dr. Jonathan Baik, PT, DPTNPI 1851760508
Title
Owner/Ceo
Phone
(562) 233-9771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X PT11759 CA
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X AT 8808 CA
Feeding, Eating & Swallowing Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XF0002X OT 3708 CA
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT6847 CA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP 16790 CA Primary

Addresses

Primary practice location

11205 Knott Ave. Suite E
Cypress, CA 90630

Mailing address

11205 Knott Ave. Suite E
Cypress, CA 90630
Phone (714) 893-7399

Other names 1

  • South Coast Therapy, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

11205 Knott Ave
Ste E
Cypress, CA 90630
Phone (714) 893-7399

11105 Knott Ave
Ste A
Cypress, CA 90630
Phone (714) 893-7399

Practitioners & affiliated clinicians

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1467604694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 KNOTT AVE. SUITE E",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630",
            "telephone_number": "714-893-7399",
            "fax_number": "714-893-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 KNOTT AVE. SUITE E",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630",
            "telephone_number": "714-893-7399",
            "fax_number": "714-893-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST PEDIATRIC PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "BAIK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "562-233-9771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT11759",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 8808",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "OT 3708",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT6847",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 16790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Coast Therapy, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.