MEDICARE: WELLARA PHYSICAL THERAPY PC

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

General Provider Information

NPI Number	:	1407781636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLARA PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	25255 CABOT RD STE 101
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5507
Country	:	US
Telephone Number	:	949-746-0074
Fax Number	:

Provider Business Practice Location Address
First Line	:	25255 CABOT RD STE 101
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5507
Country	:	US
Telephone Number	:	949-746-0074
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	DR. REBECCA G RABAJA
Credential	:	DPT
Telephone Number	:	949-746-0074

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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