OrganizationActive
California Rehabilitation and Sports Therapy a California Physical Ther
NPI 1982563508 · Physical Therapist · Benicia, CA
Provider details
- NPI number
- 1982563508
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Nicholas Poan, Cfo(945) 260-0010
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
816 Southampton Rd
Benicia, CA 94510-1907
Phone: (707) 512-8901
Street-level locationGet directions
Mailing address
2600 Dallas Pkwy Ste 290
Frisco, TX 75034-7493
Additional practice locations (1)
- 127 Hospital Dr Ste 101Vallejo, CA 94589-2500Phone: (707) 512-7290
Registry dates
- Enumerated
- 2026-01-20
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.