Healthcare Provider Details

I. General information

NPI: 1356201248
Provider Name (Legal Business Name): CHRISTINA LEE THOMPSON PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2993 E WHITE STAR AVE
ANAHEIM CA
92806-2630
US

IV. Provider business mailing address

18932 COUNTRY CLUB LN
YORBA LINDA CA
92886-4204
US

V. Phone/Fax

Practice location:
  • Phone: 714-322-1038
  • Fax:
Mailing address:
  • Phone: 714-322-1038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA THOMPSON
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT, DPT, SCS, OCS
Phone: 714-322-1038