NPIMap

Organization Active NPI

Patriot Physical Therapy Inc

  • Physical Therapist
  • Rancho Palos Verdes, CA
National Provider Identifier
1831489475
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PATRIOT PHYSICAL THERAPY INC
Practice address
28901 S Western Ave Ste 103
Rancho Palos Verdes, CA 90275-0001
Phone
(310) 732-0036
Fax
(310) 732-0250
NPI assigned
Apr 17, 2011
Organization subpart
Yes
Parent organization
PATRIOT PHYSICAL THERAPY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Theresa Serrano, PTNPI 1538812508
Title
Ceo
Phone
(310) 732-0036

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

28901 S Western Ave Ste 103
Rancho Palos Verdes, CA 90275-0001

Mailing address

28901 S Western Ave Ste 103
Rancho Palos Verdes, CA 90275-0001
Phone (310) 732-0036

Other practice location 1

29000 S Western Ave Ste 100
Rancho Palos Verdes, CA 90275-0826
Phone (310) 832-2622

Other names 1

  • Coast Physical Therapy and Sports Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120301000608 CA Part B Supplier - Clinic/Group Practice 1355500851 Receives reassigned benefits from 4 practitioners
Practice locations: Rancho Palos Verdes, CA

National Provider Directory

National Provider Directory
Tax ID family
Coast Physical Therapy Coast Rehab2 organizations share this tax ID, including this one
Part of
Coast Physical Therapy Coast Rehab

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

28901 S Western Ave
Ste 103
Rancho Palos Verdes, CA 90275
Phone (310) 732-0036

Practitioners & affiliated clinicians

Practitioners 5

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": "1302998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1831489475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28901 S WESTERN AVE STE 103",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750001",
            "telephone_number": "310-732-0036",
            "fax_number": "310-732-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28901 S WESTERN AVE STE 103",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750001",
            "telephone_number": "310-732-0036",
            "fax_number": "310-732-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29000 S Western Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rancho Palos Verdes",
            "state": "CA",
            "postal_code": "902750826",
            "country_code": "US",
            "telephone_number": "310-832-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATRIOT PHYSICAL THERAPY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRIOT PHYSICAL THERAPY INC",
        "enumeration_date": "2011-04-17",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-732-0036",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Physical Therapy and Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coast Physical Therapy and Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.