Healthcare Provider Details
I. General information
NPI: 1063521987
Provider Name (Legal Business Name): TECH COAST REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4200 TRABUCO RD SUITE 165
IRVINE CA
92620-3600
US
IV. Provider business mailing address
4200 TRABUCO RD SUITE 165
IRVINE CA
92620-3600
US
V. Phone/Fax
- Phone: 949-654-1369
- Fax: 949-654-1383
- Phone: 949-654-1369
- Fax: 949-654-1383
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225000000X |
| Taxonomy | Orthotic Fitter |
| License Number | 2033 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XE1200X |
| Taxonomy | Ergonomics Occupational Therapist |
| License Number | 2033 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XH1200X |
| Taxonomy | Hand Occupational Therapist |
| License Number | 2033 |
| License Number State | CA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XN1300X |
| Taxonomy | Neurorehabilitation Occupational Therapist |
| License Number | 2033 |
| License Number State | CA |
VIII. Authorized Official
Name: MRS.
BARBARA
CECILE
GAITA
Title or Position: OWNER/THERAPIST
Credential: MOT, OTR/L
Phone: 949-654-1369