Canyon Lake Physical Therapy, Inc
NPI 1053490557 · Physical Therapist · Canyon Lake, CA
Canyon Lake Physical Therapy, Inc is a Physical Therapist organization in Canyon Lake, CA (NPI 1053490557).
Provider details
- NPI number
- 1053490557
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Barbara Stacy, Physical Therapist, Owner(951) 246-2670
- License
- PT 9115 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Canyon Lake Physical Therapy
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Canyon Lake Physical Therapy, Inc's NPI number?
- Canyon Lake Physical Therapy, Inc's National Provider Identifier (NPI) is 1053490557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Lake Physical Therapy, Inc?
- Canyon Lake Physical Therapy, Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Canyon Lake Physical Therapy, Inc located?
- Canyon Lake Physical Therapy, Inc's practice location on file with NPPES is 31700 Railroad Canyon Rd, Canyon Lake, CA 92587-9453.
- What is Canyon Lake Physical Therapy, Inc's phone number?
- The practice phone number listed in the NPPES registry for Canyon Lake Physical Therapy, Inc is (951) 246-2670.
- Who is the authorized official for Canyon Lake Physical Therapy, Inc?
- The authorized official listed on Canyon Lake Physical Therapy, Inc's NPPES record is Barbara Stacy, Physical Therapist, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Lake Physical Therapy, Inc's NPI active?
- Yes — Canyon Lake Physical Therapy, Inc's NPI (1053490557) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.