Southland Physical Therapy Inc
NPI 1710150172 · Physical Therapist · Irvine, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southland Physical Therapy Inc is a Physical Therapist organization in Irvine, CA (NPI 1710150172).
Provider details
- NPI number
- 1710150172
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jason Park, Ceo(949) 679-3337
- License
- PT24454 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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)
- Former legal business name
- Excel Physical Therapy Inc
- Former legal business name
- Excel Physical Therapy Inc
Additional practice locations (3)
- 2755 Bristol St Ste 130Costa Mesa, CA 92626-5985Phone: (714) 966-2950Fax: (714) 557-2487
- 2170 N Bellflower BlvdLong Beach, CA 90815-3126Phone: (562) 384-4525Fax: (562) 384-4524
- 801 N Tustin Ave Ste 407Santa Ana, CA 92705-3608Phone: (714) 862-2123Fax: (714) 862-2124
Registry dates
- Enumerated
- 2008-04-08
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Southland Physical Therapy Inc's NPI number?
- Southland Physical Therapy Inc's National Provider Identifier (NPI) is 1710150172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southland Physical Therapy Inc?
- Southland Physical Therapy Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Southland Physical Therapy Inc located?
- Southland Physical Therapy Inc's practice location on file with NPPES is 4482 Barranca Pkwy Ste 195, Irvine, CA 92604-4706.
- What is Southland Physical Therapy Inc's phone number?
- The practice phone number listed in the NPPES registry for Southland Physical Therapy Inc is (949) 679-3337.
- Does Southland Physical Therapy Inc accept Medicare?
- Southland Physical Therapy Inc 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 Southland Physical Therapy Inc?
- The authorized official listed on Southland Physical Therapy Inc's NPPES record is Jason Park, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southland Physical Therapy Inc's NPI active?
- Yes — Southland Physical Therapy Inc's NPI (1710150172) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.