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
Primary
—
—
225X00000X
Occupational Therapist
—
—
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
06/11/2025
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