Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Costa Rehab and Wellness Clinic

Orthopedic Physical Therapist in Lake Forest, CA · enumerated 2014 · authorized official Cary Costa, Ceo.

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

National Provider Identifier

1730588575

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Registry record

Entity type Organization (Type 2)

Legal business name Costa Rehab and Wellness Clinic

Practice address 22821 Lake Forest Dr, Suite 115, Lake Forest, CA, 92630

Phone (949) 716-5050

Fax (949) 482-2122

Enumeration date Aug 18, 2014

Last updated in NPPES Apr 14, 2016

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT37671 (CA) Secondary

2251C2600X Cardiopulmonary Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT37671 (CA) Secondary

2251E1200X Ergonomics Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT37671 (CA) Secondary

2251G0304X Geriatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT37671 (CA) Secondary

2251H1200X Hand Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT37671 (CA) Secondary

2251N0400X Neurology Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT37671 (CA) Secondary

2251P0200X Pediatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT37671 (CA) Secondary

2251S0007X Sports Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT37671 (CA) Secondary

2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT37671 (CA) Primary

Authorized official

Name Cary Costa

Title Ceo

Phone (971) 998-4484

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-04-14. Verify at npiregistry.cms.hhs.gov.

Where is Costa Rehab and Wellness Clinic located?

The practice location on file with NPPES is in Lake Forest, CA.

Providers at this address

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Cary Costa Orthopedic Physical Therapist · Lake Forest, CA NPI 1952690901

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-14.