Costa Rehab and Wellness Clinic
NPI 1730588575ActiveOrganization· Physical Therapist, Orthopedic· Lake Forest, CA
Physical Therapist, Orthopedic in Lake Forest, California, registered in NPPES in August 2014. The authorized official on file is Cary Costa, D.P.T, Ceo.
Overview
| NPI | 1730588575 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2014 |
| Last updated in NPPES | Apr 14, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | PT37671 | CA |
| Physical Therapist | 225100000X | PT37671 | CA |
| Physical Therapist, Cardiopulmonary | 2251C2600X | PT37671 | CA |
| Physical Therapist, Ergonomics | 2251E1200X | PT37671 | CA |
| Physical Therapist, Geriatrics | 2251G0304X | PT37671 | CA |
| Physical Therapist, Hand | 2251H1200X | PT37671 | CA |
| Physical Therapist, Neurology | 2251N0400X | PT37671 | CA |
| Physical Therapist, Pediatrics | 2251P0200X | PT37671 | CA |
| Physical Therapist, Sports | 2251S0007X | PT37671 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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