California Rehab and Sports Therapy
Organization Active NPI Physical Therapist · Lancaster, CA
NPI 1831815760 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1831815760
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- CALIFORNIA REHAB AND SPORTS THERAPY
- Practice address
- 44501 16TH St W Ste 107
Lancaster, CA 93534-2884 - Phone
- (661) 974-7033
- Fax
- (661) 974-7022
- NPI assigned
- Oct 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Robert Pace
- Title
- Coo
- Phone
- (213) 804-1712
Other NPIs on the same Medicare enrollment 24
Corporate family (same tax ID) 27
Practitioners 2
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
44501 16TH St W Ste 107
Lancaster, CA 93534-2884
Mailing address
2035 Corte del Nogal Ste 200
Carlsbad, CA 92011-1445
Phone (760) 931-8310
Other providers in Lancaster, CA
- California Institue of Health & Social Services, Inc.
- California Institue of Health & Social Services, Inc.
- California Institute of Health & Social Services
- California Institute of Health & Social Services, Inc.
- California Integrated Therapy Associates Inc
- California Sports Physical Therapy Centers, Inc.
- California State University Northridge
- California Subacute Care LLC
- Sandra Kay Callaghan
- Colin Dean Calloway
All providers in Lancaster, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. 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.