RANCHO SANTA MARGARITA PHYSICAL THERAPY SPORTS MEDICINE INC
NPI 1477653525
Clinic/Center - Physical Therapy in Rancho Santa Margarita, CA

Q: What is Rancho Santa Margarita Physical Therapy Sports Medicine Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Active since September 25, 2006

30211 AVENIDA DE LAS BANDERAS STE 130, RANCHO SANTA MARGARITA, CA 92688(949) 459-9010(949) 459-9020 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, Jul 14, 2026, Nov 7, 2017 (3 updates tracked since 2017).

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About Rancho Santa Margarita Physical Therapy Sports Medicine Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANCHO SANTA MARGARITA PHYSICAL THERAPY SPORTS MEDICINE INC (NPI 1477653525) is a healthcare organization registered as a physical therapy in Rancho Santa Margarita, California and active in the NPI registry since September 2006. The organization lists Justin Brown, President/secretary, as its authorized official.

NPPES Registry Identity

NPI1477653525

Entity TypeOrganization

Primary Taxonomy261QP2000X

Legal Business NameRANCHO SANTA MARGARITA PHYSICAL THERAPY SPORTS MEDICINE INC

Location Address30211 AVENIDA DE LAS BANDERAS STE 130Rancho Santa Margarita, CA 92688-2158

Mailing Address30211 Avenida De Las Banderas Ste 130Rancho Santa Margarita, CA 92688-2158 · (949) 459-9010 · Fax (949) 459-9020

Phone(949) 459-9010

Fax(949) 459-9020

Organization SubpartNo

Authorized OfficialJustin BrownPresident/secretary · (949) 459-9010

Enumeration DateSeptember 25, 2006

Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1477653525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities

Taxonomy Code261QP2000X

Definition

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

30211 AVENIDA DE LAS BANDERAS STE 130, Rancho Santa Margarita, CA 92688

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Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rancho Santa Margarita Physical Therapy Sports Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20031226000328Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 11 clinicians reassign Medicare billing to Rancho Santa Margarita Physical Therapy Sports Medicine Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.