MEDICARE: ADVANCED PHYSICAL THERAPY OF LAGUNA-VIEJO A PROFESSIONAL CORPOR

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
1	225100000X	Physical Therapist		CA

General Provider Information

NPI Number	:	1659452829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PHYSICAL THERAPY OF LAGUNA-VIEJO A PROFESSIONAL CORPOR

Provider Business Mailing Address
First Line	:	26034 ACERO
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-2768
Country	:	US
Telephone Number	:	949-837-9074
Fax Number	:	949-837-9078

Provider Business Practice Location Address
First Line	:	26034 ACERO
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-2768
Country	:	US
Telephone Number	:	949-837-9074
Fax Number	:	949-837-9078

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PETER JOHN KONOPASKY
Credential	:	R.P.T.
Telephone Number	:	949-837-9074

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	12/01/2025

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Directions to “ADVANCED PHYSICAL THERAPY OF LAGUNA-VIEJO A PROFESSIONAL CORPOR ” Practice Location

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