SPARK PHYSICAL THERAPY & SPORTS PERFORMANCE INC
NPI 1750042446
Clinic/Center - Physical Therapy in Buena Park, CA

Active since January 04, 2022
8575 1/2 KNOTT AVE, BUENA PARK, CA 90620(714) 335-3182 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spark Physical Therapy & Sports Performance Inc NPPES

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

SPARK PHYSICAL THERAPY & SPORTS PERFORMANCE INC (NPI 1750042446) is a healthcare organization registered as a physical therapy in Buena Park, California and active in the NPI registry since January 2022. The organization lists Ziad Dahdul, President, as its authorized official.

NPPES Registry Identity

NPI1750042446
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSPARK PHYSICAL THERAPY & SPORTS PERFORMANCE INC
Location Address8575 1/2 KNOTT AVEBuena Park, CA 90620-3850
Mailing Address8575 1/2 Knott AveBuena Park, CA 90620-3850 · (714) 335-3182
Organization SubpartNo
Authorized OfficialZiad DahdulPresident · (714) 335-3182
Enumeration DateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1750042446 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.
8575 1/2 KNOTT AVE, Buena Park, CA 90620

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spark Physical Therapy & Sports Performance Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spark Physical Therapy & Sports Performance Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1962271544
8575 KNOTT AVE
Buena Park, CA 90620
(818) 239-9795
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1467761395
3294 E SPRING ST
Long Beach, CA 90806
(562) 988-3570
✔ Accepts Medicare8.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Spark Physical Therapy & Sports Performance Inc's NPI number?

The NPI number for Spark Physical Therapy & Sports Performance Inc is 1750042446. It was assigned to this organization in the NPPES registry on January 4, 2022.

Where is Spark Physical Therapy & Sports Performance Inc located?

Spark Physical Therapy & Sports Performance Inc is located at 8575 1/2 Knott Ave, Buena Park, CA 90620. The listed phone number is (714) 335-3182.

What is Spark Physical Therapy & Sports Performance Inc's specialty?

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

Is Spark Physical Therapy & Sports Performance Inc enrolled in Medicare?

Yes. Spark Physical Therapy & Sports Performance Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spark Physical Therapy & Sports Performance Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Spark Physical Therapy & Sports Performance Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spark Physical Therapy & Sports Performance Inc was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.