Organization
CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS, INC.
Active
Organization
CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS, INC.
Active
Other names
California Sports Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PACE (COO)
(213) 804-1712
Entity
Organization
Contact information
Practice address
5910 PACIFIC AVE, STOCKTON, CA 95207-4704
(209) 475-1000
(209) 475-1809
Mailing address
2600 DALLAS PKWY STE 290, FRISCO, TX 75034-7493
(945) 260-0010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183888005
DOL
CA
01
—
4475238
CIGNA
CA
01
—
ZZZ66047Z
BLUESHIELD
CA
Enumeration date
11/18/2005
Last updated
07/08/2026
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