OrganizationActive
Pacific Coast Care Rehab Inc.
NPI 1174860175 · Physical Therapist · Lakewood, CA
Provider details
- NPI number
- 1174860175
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Philip Thames, Director(562) 888-0656
- License
- PT6772 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
4154 Woodruff Ave
Lakewood, CA 90713-3141
Phone: (562) 888-0656
Street-level locationGet directions
Mailing address
Po Box 12426
Newport Beach, CA 92658-5062
Registry dates
- Enumerated
- 2013-01-10
- Last updated
- 2013-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.