Sport & Rehab Physical Therapy Incorporated
NPI 1558512327 · Physical Therapy Clinic/Center · Los Banos, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sport & Rehab Physical Therapy Incorporated is a Physical Therapy Clinic/Center organization in Los Banos, CA (NPI 1558512327).
Provider details
- NPI number
- 1558512327
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Russell, Owner/Physical Therapist(209) 827-6178
- License
- PT23597 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Registry dates
- Enumerated
- 2008-10-09
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Frequently asked questions
- What is Sport & Rehab Physical Therapy Incorporated's NPI number?
- Sport & Rehab Physical Therapy Incorporated's National Provider Identifier (NPI) is 1558512327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sport & Rehab Physical Therapy Incorporated?
- Sport & Rehab Physical Therapy Incorporated is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sport & Rehab Physical Therapy Incorporated located?
- Sport & Rehab Physical Therapy Incorporated's practice location on file with NPPES is 312 W J St, Los Banos, CA 93635-4069.
- What is Sport & Rehab Physical Therapy Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Sport & Rehab Physical Therapy Incorporated is (209) 827-6178.
- Does Sport & Rehab Physical Therapy Incorporated accept Medicare?
- Sport & Rehab Physical Therapy Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sport & Rehab Physical Therapy Incorporated?
- The authorized official listed on Sport & Rehab Physical Therapy Incorporated's NPPES record is Scott Russell, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sport & Rehab Physical Therapy Incorporated's NPI active?
- Yes — Sport & Rehab Physical Therapy Incorporated's NPI (1558512327) is active in the NPPES registry as of the last update on 2024-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.