SOUTH COAST PHYSICAL THERAPY
NPI 1861565806
Clinic/Center - Physical Therapy in Lakewood, CA

Active since November 16, 2006
5750 DOWNEY AVE, #301, LAKEWOOD, CA 90712(562) 633-3501(562) 633-6178 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Coast Physical Therapy NPPES

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

SOUTH COAST PHYSICAL THERAPY (NPI 1861565806) is a healthcare organization registered as a physical therapy in Lakewood, California and active in the NPI registry since November 2006. The organization lists Soad A Salam, Physical Therapist Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861565806
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSOUTH COAST PHYSICAL THERAPY
Location Address5750 DOWNEY AVE, #301Lakewood, CA 90712
Mailing Address17752 Beach Blvd, #306Huntington Beach, CA 92646 · (714) 842-6171 · Fax (714) 842-0281
Fax(562) 633-6178
Organization SubpartNo
Authorized OfficialSoad A SalamPhysical Therapist Office Manager · (714) 842-6171
Enumeration DateNovember 16, 2006
Last NPPES UpdateDecember 13, 2011
✔ NPI 1861565806 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.
5750 DOWNEY AVE, Lakewood, CA 90712

Other Identifiers 1

Medicare ID-Type UnspecifiedW16314CA

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)

South Coast Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20050718000983Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to South Coast Physical Therapy, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1124191168
5750 DOWNEY AVE #301
Lakewood, CA 90712
(562) 633-3501
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1194898130
5750 DOWNEY AVE SUITE 301
Lakewood, CA 90712
(562) 633-3501
Same address

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 South Coast Physical Therapy's NPI number?

The NPI number for South Coast Physical Therapy is 1861565806. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is South Coast Physical Therapy located?

South Coast Physical Therapy is located at 5750 Downey Ave #301, Lakewood, CA 90712. The listed phone number is (562) 633-3501.

What is South Coast Physical Therapy's specialty?

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

Is South Coast Physical Therapy enrolled in Medicare?

Yes. South Coast Physical Therapy is registered in the Medicare PECOS enrollment system.

When is South Coast Physical Therapy's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through South Coast Physical Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to South Coast Physical Therapy. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Coast Physical Therapy was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.