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NPI Code Detail

MEDICARE: CALIFORNIA REHAB PHYSICAL THERAPY, INC.

MEDICARE: CALIFORNIA REHAB PHYSICAL THERAPY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1144171448
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALIFORNIA REHAB PHYSICAL THERAPY, INC.
Provider Business Mailing Address
First Line : 5201 LAGUNA OAKS DR UNIT 180
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-7328
Country : US
Telephone Number : 209-227-0070
Fax Number :
Provider Business Practice Location Address
First Line : 10754 SAND CASTLE WAY
Second Line :
City : STOCKTON
State : CA
Zip : 95209
Country : US
Telephone Number : 209-227-0070
Fax Number :
Authorized Official
Title or Position : CEO
Name : GI MIN
Credential :
Telephone Number : 209-227-0070
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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