California Rehabilitation & Sports Therapy a California Physical Ther
Organization Active NPI Physical Therapy Clinic/Center · Camarillo, CA
NPI 1669066940 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1669066940
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER
- Practice address
- 415 Carmen Dr
Camarillo, CA 93010-6010 - Phone
- (805) 322-9083
- NPI assigned
- Feb 26, 2021
- Organization subpart
- No
Authorized official
- Name
- Robert Pace
- Title
- Owner and Coo
- Phone
- (213) 804-1712
Other NPIs on the same Medicare enrollment 24
Corporate family (same tax ID) 27
Practitioners 91
-
Julia Charlesworth, PT, DPT
-
Rebecca Matalon, DPT
-
Holly Ann Moody Bibian, P.T.
-
Ashley Nagler, PT
-
Alexia Kate Agamata, PT, DPT, CSCS
-
Natalie Ang, OTR
-
Dylan Bailey, DPT
-
Sara Bayat, DPT
-
Peter Bishay, DPT
-
Louise Ashley Dizon Brennan, OTR/L
-
Bryana Campbell, PT, DPT
-
Alyssa Chavez, PT, DPT
-
Taihun Theodore Choi, DPT
-
Justin Cordell, DPT
-
Hannivi O Dacula, RPT
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 This NPI is an additional NPI on the 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
25176 Rye Canyon Rd
Valencia, CA 91355
Phone (661) 288-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
415 Carmen Dr
Camarillo, CA 93010-6010
Mailing address
2600 Dallas Pkwy Ste 290
Frisco, TX 75034-7493
Phone (945) 050-0010
Other names
- California Rehab and Sports Therapy
Other providers in Camarillo, CA
- Cassandra Calderon
- Rocco Richard Calderone
- California Family Care Hospice, Inc.
- California Healthfirst Physicians
- California Healthfirst Physicians
- Kelly L Calkins
- Whitney Call
- Camille Elizabeth Callahan
- Brittany Nicole Calvillo
- Camarillo All Eyecare Optometry Inc
All providers in Camarillo, CA · Physical Therapy 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 Feb 12, 2024. 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.