MEDICARE: COURY & BUEHLER PHYSICAL THERAPY - NEWPORT, INC.

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
2	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1508425570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COURY & BUEHLER PHYSICAL THERAPY - NEWPORT, INC.

Provider Business Mailing Address
First Line	:	3230 E IMPERIAL HWY STE 100
Second Line	:
City	:	BREA
State	:	CA
Zip	:	92821-6735
Country	:	US
Telephone Number	:	714-988-8110
Fax Number	:	714-988-8111

Provider Business Practice Location Address
First Line	:	4920 CAMPUS DR STE B
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2110
Country	:	US
Telephone Number	:	949-271-0053
Fax Number	:	949-271-9453

Authorized Official
Title or Position	:	VP OF FINANCE
Name	:	LETITIA MAE SAMONTE
Credential	:
Telephone Number	:	714-988-8113

Provider Enumeration Date	:	06/12/2019
Last Update Date	:	05/19/2026

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