MEDICARE: INSPIRING GROWTH PEDIATRIC PHYSICAL THERAPY 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	2251P0200X	Pediatric Physical Therapist

General Provider Information

NPI Number	:	1790649440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRING GROWTH PEDIATRIC PHYSICAL THERAPY INC.

Provider Business Mailing Address
First Line	:	25697 LOCHMOOR RD
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-2403
Country	:	US
Telephone Number	:	661-770-5565
Fax Number	:

Provider Business Practice Location Address
First Line	:	25697 LOCHMOOR RD
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-2403
Country	:	US
Telephone Number	:	661-770-5565
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MRS. NICOL SALOME GOHL
Credential	:
Telephone Number	:	661-770-5565

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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