Active NPI
West Coast Physical Therapy Lab, Inc.
- Physical Therapist
- Bakersfield, CA
National Provider Identifier
1891528907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WEST COAST PHYSICAL THERAPY LAB, INC.
- Practice address
- 5630 District Blvd Ste 105
Bakersfield, CA 93313-2181 - Phone
- (661) 378-3206
- NPI assigned
- Aug 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Douglas Harrell, DPT
- Title
- Physical Therapist
- Phone
- (661) 378-3206
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
5630 District Blvd Ste 105
Bakersfield, CA 93313-2181
Mailing address
5630 District Blvd Ste 105
Bakersfield, CA 93313-2181
Phone (661) 378-3206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8200 Stockdale Hwy
#308
Bakersfield, CA 93311
5630 District Blvd
Ste 105
Bakersfield, CA 93313
Phone (661) 378-3206
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Bakersfield, CA
- NPI 1396290391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745884800000",
"number": "1891528907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5630 DISTRICT BLVD STE 105",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933132181",
"telephone_number": "661-378-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5630 DISTRICT BLVD STE 105",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933132181",
"telephone_number": "661-378-3206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COAST PHYSICAL THERAPY LAB, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-23",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A",
"authorized_official_last_name": "HARRELL",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "661-378-3206",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.