Stac Physical Therapy Laguna, Inc
NPI 1639713340 · Physical Therapist · Elk Grove, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1639713340
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Or Nativ, Director/President(650) 796-4048
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Geriatric Physical Therapist2251G0304X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Hand Physical Therapist2251H1200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sports Physical Therapist2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthopedic Physical Therapist2251X0800X
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
6 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
- Laguna Physical Therapy and Hand Rehabilitation
- Doing business as
- Laguna Physical Therapy and Hand Rehabilitation
Registry dates
- Enumerated
- 2019-11-06
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.