NPIMap

Organization Active NPI

Caldwell Physical Therapy & Sports Rehabilitation Inc.

  • Physical Therapy Clinic/Center
  • Placentia, CA
National Provider Identifier
1730236720
Registry record updated Feb 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT9660 Issued in CA
Legal business name
CALDWELL PHYSICAL THERAPY & SPORTS REHABILITATION INC.
Practice address
1075 Yorba PL
Suite 107
Placentia, CA 92870-3152
Phone
(714) 524-3500
Fax
(714) 524-0366
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2017

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

Authorized official

Name
Mr. Craig L Caldwell, P.T.NPI 1437184108
Title
Owner
Phone
(714) 524-3500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT9660 CA Primary

Addresses

Primary practice location

1075 Yorba PL
Suite 107
Placentia, CA 92870-3152

Mailing address

1075 Yorba PL
Suite 107
Placentia, CA 92870-3152
Phone (714) 524-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170213001520 CA Part B Supplier - Clinic/Group Practice 2264715499 Receives reassigned benefits from 2 practitioners
Practice locations: Placentia, CA

National Provider Directory

National Provider Directory

Locations

1075 Yorba Pl
Ste 107
Placentia, CA 92870
Phone (714) 524-3500

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487376000000",
    "number": "1730236720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 YORBA PL",
            "address_2": "SUITE 107",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703152",
            "telephone_number": "714-524-3500",
            "fax_number": "714-524-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 YORBA PL",
            "address_2": "SUITE 107",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703152",
            "telephone_number": "714-524-3500",
            "fax_number": "714-524-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL PHYSICAL THERAPY & SPORTS REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-02-18",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-524-3500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT9660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.