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COSTA REHAB AND WELLNESS CLINIC
NPI 1730588575
Physical Therapist - Orthopedic in Lake Forest, CA

Active since August 18, 2014
22821 LAKE FOREST DR, SUITE 115, LAKE FOREST, CA 92630(949) 716-5050(949) 482-2122 Get Directions Write a Review

NPPES record last updated: April 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Costa Rehab And Wellness Clinic NPPES

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

COSTA REHAB AND WELLNESS CLINIC (NPI 1730588575) is a healthcare organization registered as an orthopedic in Lake Forest, California and active in the NPI registry since August 2014. The organization lists Cary Costa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730588575
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameCOSTA REHAB AND WELLNESS CLINIC
Location Address22821 LAKE FOREST DR, SUITE 115Lake Forest, CA 92630-1606
Mailing Address22821 Lake Forest Dr, Suite 115Lake Forest, CA 92630-1606 · (949) 716-5050 · Fax (949) 482-2122
Phone(949) 716-5050
Fax(949) 482-2122
Organization SubpartNo
Authorized OfficialCary CostaCeo · (971) 998-4484
Enumeration DateAugust 18, 2014
Last NPPES UpdateApril 14, 2016
✔ NPI 1730588575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · PT37671
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT37671 (CA)
Also ListedPhysical Therapist · CardiopulmonaryTaxonomy 2251C2600X · License PT37671 (CA)
Also ListedPhysical Therapist · ErgonomicsTaxonomy 2251E1200X · License PT37671 (CA)
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License PT37671 (CA)
Also ListedPhysical Therapist · HandTaxonomy 2251H1200X · License PT37671 (CA)
Also ListedPhysical Therapist · NeurologyTaxonomy 2251N0400X · License PT37671 (CA)
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X · License PT37671 (CA)
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X · License PT37671 (CA)
22821 LAKE FOREST DR, Lake Forest, CA 92630
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Other Identifiers 1

Medicare PINCB224544

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARY COSTA D.P.T.
Physical Therapist (Orthopedic)
22821 LAKE FOREST DR, SUITE 115
LAKE FOREST, CA 92630
Orange County (949) 716-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Costa Rehab And Wellness Clinic's NPI number?

The NPI number for Costa Rehab And Wellness Clinic is 1730588575. It was assigned to this organization in the NPPES registry on August 18, 2014.

Where is Costa Rehab And Wellness Clinic located?

Costa Rehab And Wellness Clinic is located at 22821 Lake Forest Dr Suite 115, Lake Forest, CA 92630. The listed phone number is (949) 716-5050.

What is Costa Rehab And Wellness Clinic's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Costa Rehab And Wellness Clinic was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.