Healthcare Provider Details

I. General information

NPI: 1659624930
Provider Name (Legal Business Name): HEALTH WORKS PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2012
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 HARBOR BLVD STE 300
COSTA MESA CA
92626-5157
US

IV. Provider business mailing address

2790 HARBOR BLVD STE 300
COSTA MESA CA
92626-5157
US

V. Phone/Fax

Practice location:
  • Phone: 714-485-7642
  • Fax: 714-427-0785
Mailing address:
  • Phone: 714-427-0803
  • Fax: 714-427-0785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT28231
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number34431
License Number StateCA

VIII. Authorized Official

Name: TRAVIS MORISOLI
Title or Position: PHYSICAL THERAPIST
Credential: PT DPT OCS
Phone: 714-485-7642