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Southland Physical Therapy Inc

Physical Therapist in Irvine, CA · enumerated 2008 · authorized official Jason Park, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710150172

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Registry record

Entity type Organization (Type 2)
Legal business name Southland Physical Therapy Inc
Other name <Unavail>
Practice address 4482 Barranca Pkwy Ste 195, Irvine, CA, 92604
Phone (949) 679-3337
Fax (949) 679-3336
Enumeration date Apr 8, 2008
Last updated in NPPES Mar 14, 2025

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT32067 (CA) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT24454 (CA) Secondary

Authorized official

Name Jason Park
Title Ceo
Phone (949) 679-3337

Other identifiers

Identifier Type State Issuer
0PT320670 Other CA BLUE SHIELD PIN
OT0015030 Other CA BLUE SHIELD PIN (SHERYL LEE, OTL)
OPT370670 Other - BLUE SHIELD PIN
OPT384920 Other CA BLUE SHIELD PIN (RACHEL LEE, DPT)
OPT244540 Other CA BLUE SHIELD PIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Southland Physical Therapy Inc?
Southland Physical Therapy Inc is registered in NPPES as a Physical Therapist (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-14.