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DR. CARY COSTA D.P.T.
NPI 1952690901
Physical Therapist - Orthopedic in Lake Forest, CA

Active since March 30, 2011Accepts Medicare Assignment
76.33/100
CMS Quality Rating
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: October 18, 2026.

About Dr. Cary Costa D.p.t. NPPES

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

DR. CARY COSTA D.P.T. (NPI 1952690901) is an individual orthopedic provider in Lake Forest, California, licensed in California (PT37671) and active in the NPI registry since March 2011. He is a graduate of Other (2010).

NPPES Registry Identity

NPI1952690901
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. CARY COSTACredential: D.P.T.
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
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 30, 2011
Last NPPES UpdateApril 14, 2016
✔ NPI 1952690901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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
Also ListedPhysical Therapist · CardiopulmonaryTaxonomy 2251C2600X
Also ListedPhysical Therapist · ErgonomicsTaxonomy 2251E1200X
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X
Also ListedPhysical Therapist · HandTaxonomy 2251H1200X
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X
22821 LAKE FOREST DR, Lake Forest, CA 92630
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Cary Costa D.p.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315123577
PECOS Enrollment IDI20110524000335

Medicare Billing Reassignments

2

Medicare enrollment records show Cary Costa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Physical Therapy Inc
4.1 mi
Physical Therapist
26730 TOWNE CENTRE DR STE 204
Foothill Ranch, CA 92610
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1588985832 (949) 716-5050
Bay Area Foot Care, Inc
390 mi
Foot & Ankle Surgery
2299 POST ST STE 205
San Francisco, CA 94115
  • Reassigned Medicare billing, California enrollment
  • 152 clinicians in this Medicare group
NPI 1508911892 (415) 292-0638

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
5,763 services169 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,713 services144 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
536 services25 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
142 services126 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
71 services52 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

COSTA REHAB AND WELLNESS CLINIC
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 Cary Costa's NPI number?

The NPI number for Cary Costa is 1952690901. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Cary Costa located?

Cary Costa practices at 22821 Lake Forest Dr Suite 115, Lake Forest, CA 92630. The listed phone number is (949) 716-5050.

What is Cary Costa's specialty?

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

Is Cary Costa enrolled in Medicare?

Yes. Cary Costa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Cary Costa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cary Costa reassigns Medicare benefits to 2 organizations: Premier Physical Therapy Inc (Foothill Ranch, CA) and Bay Area Foot Care, Inc (San Francisco, CA). Each 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 Cary Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cary Costa 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.