Organization Active NPI

Progressive Physical Therapy and Rehabilitation Inc

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1912936840
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25272 Issued in CA
Legal business name
PROGRESSIVE PHYSICAL THERAPY AND REHABILITATION INC
Practice address
129 W Wilson St Ste 202
Costa Mesa, CA 92627-1586
Phone
(949) 631-0125
Fax
(949) 631-0127
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Michael McKindleyNPI 1568492064
Title
Owner
Phone
(949) 631-0125

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT25272 CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT13058 CA

Addresses

Primary practice location

129 W Wilson St Ste 202
Costa Mesa, CA 92627-1586

Mailing address

129 W Wilson St Ste 202
Costa Mesa, CA 92627-1586
Phone (949) 631-0125

Other practice location 1

15771 Rockfield Blvd Ste 150
Irvine, CA 92618-2846
Phone (949) 750-8499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041026000706 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800857434 Receives reassigned benefits from 8 practitioners
Practice locations: Costa Mesa, CA; Irvine, CA

National Provider Directory

National Provider Directory

Locations

129 W Wilson St
Ste 202
Costa Mesa, CA 92627
Phone (949) 631-0125

7461 Garden Grove Blvd
Ste A
Garden Grove, CA 92841
Phone (714) 379-4510

15771 Rockfield Blvd
Ste 150
Irvine, CA 92618
Phone (949) 750-8499

Practitioners & affiliated clinicians

Practitioners 10

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1912936840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W WILSON ST STE 202",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271586",
            "telephone_number": "949-631-0125",
            "fax_number": "949-631-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W WILSON ST STE 202",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271586",
            "telephone_number": "949-631-0125",
            "fax_number": "949-631-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15771 Rockfield Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926182846",
            "country_code": "US",
            "telephone_number": "949-750-8499",
            "fax_number": "949-446-6294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL THERAPY AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "MCKINDLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-631-0125"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25272",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.