Organization Active NPI

Innovative Physical Therapy Institute PC

  • Physical Therapist
  • Brea, CA
National Provider Identifier
1902712466
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INNOVATIVE PHYSICAL THERAPY INSTITUTE PC
Practice address
972 Malibu Canyon Rd
Brea, CA 92821-2641
Phone
(562) 303-6366
NPI assigned
Aug 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Dr. Carlos Pena Pineda III, DPT
Title
Ceo
Phone
(562) 303-6366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

972 Malibu Canyon Rd
Brea, CA 92821-2641

Mailing address

972 Malibu Canyon Rd
Brea, CA 92821-2641
Phone (562) 303-6366

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1902712466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 MALIBU CANYON RD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212641",
            "telephone_number": "562-303-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 MALIBU CANYON RD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212641",
            "telephone_number": "562-303-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHYSICAL THERAPY INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-23",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "PENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-303-6366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.