California Rehabilitation & Sports Therapy A California Physical Ther
Physical Therapist in Vallejo, CA. Organization (NPI-2).
NPI number1245199876
StatusActive
Last updated in NPPESJan 20, 2026
Details
- NPI
- 1245199876
- Entity type
- Organization (NPI-2)
- Legal business name
- California Rehabilitation & Sports Therapy A California Physical Ther
- Organization subpart
- No
- Enumeration date
- Jan 20, 2026
- Certification date
- Jan 20, 2026
- Last updated
- Jan 20, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
127 Hospital Dr Ste 101Vallejo, CA 94589-2500
Phone 707-512-7290
Mailing address
2600 Dallas Pkwy Ste 290Frisco, TX 75034-7493
Phone 945-260-0010
Authorized official
Nicholas Poan
Cfo
9452600010
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All 132 Physical Therapist providers in Vallejo · All 3,369 providers in Vallejo
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