MEDICARE: BOON PHYSICAL THERAPY, P.C.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1194667857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOON PHYSICAL THERAPY, P.C.

Provider Business Mailing Address
First Line	:	4900 CALIFORNIA AVE STE 210B
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-7080
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3740 LOYOLA CT.
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710
Country	:	US
Telephone Number	:	877-472-2261
Fax Number	:	877-349-1138

Authorized Official
Title or Position	:	OWNER
Name	:	ANNIKA LUCAS
Credential	:
Telephone Number	:	530-386-4608

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “BOON PHYSICAL THERAPY, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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