NPIMap

Organization Active NPI

Cuirim Sports Physical Therapy Inc

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1801435193
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CUIRIM SPORTS PHYSICAL THERAPY INC
Practice address
1111 Baker St
Costa Mesa, CA 92626-4138
Phone
(443) 797-2766
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Dr. Patrick Lawrence Everett, PT, DPT, ATC, MSATNPI 1386032365
Title
Owner
Phone
(443) 797-2766

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1111 Baker St
Costa Mesa, CA 92626-4138

Mailing address

1111 Baker St
Costa Mesa, CA 92626-4138
Phone (443) 797-2766

Other names 1

  • Cuirim Sports Recovery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201230002572 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082027537 Receives reassigned benefits from 10 practitioners
Practice locations: Costa Mesa, CA

National Provider Directory

National Provider Directory

Locations

1111 Baker St
Ste 107
Costa Mesa, CA 92626

2075 Newport Blvd
Ste 107
Costa Mesa, CA 92627
Phone (443) 797-2766

766 Saint Clair St
Costa Mesa, CA 92626
Phone (206) 999-9153

Practitioners & affiliated clinicians

Practitioners 11

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": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1801435193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BAKER ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264138",
            "telephone_number": "443-797-2766"
        },
        {
            "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": "443-797-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUIRIM SPORTS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-797-2766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, ATC, MSAT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cuirim Sports Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cuirim Sports Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 14, 2025; 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.