Organization Active NPI

West Coast Physical Therapy Lab, Inc.

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1891528907
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Anthony Douglas Harrell, DPTNPI 1396290391
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)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20251008001042 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254838006 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.