Southland Physical Therapy Inc - Medicare Physical Therapist in Irvine, CA

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Southland Physical Therapy Inc is a medicare enrolled "Physical Therapist" provider in Irvine, California. Their current practice location is 4482 Barranca Pkwy Ste 195, Irvine, California. You can reach out to their office (for appointments etc.) via phone at (949) 679-3337.

Southland Physical Therapy Inc is licensed to practice in California (license number PT32067) and it also participates in the medicare program. Southland Physical Therapy Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1710150172.

Contact Information

Southland Physical Therapy Inc
4482 Barranca Pkwy Ste 195,
Irvine, CA 92604-4706
(949) 679-3337
(949) 679-3336

Map and Direction




Healthcare Provider's Profile

Full NameSouthland Physical Therapy Inc
TypeFacility
SpecialityPhysical Therapist
Location4482 Barranca Pkwy Ste 195, Irvine, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710150172
  • Provider Enumeration Date: 04/08/2008
  • Last Update Date: 03/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9234297771
  • Enrollment ID: O20081028000046

Medical Identifiers

Medical identifiers for Southland Physical Therapy Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710150172NPI-NPPES
0PT320670OtherCABLUE SHIELD PIN
OT0015030OtherCABLUE SHIELD PIN (SHERYL LEE, OTL)
OPT370670OtherBLUE SHIELD PIN
OPT384920OtherCABLUE SHIELD PIN (RACHEL LEE, DPT)
OPT244540OtherCABLUE SHIELD PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT24454 (California)Secondary
225100000XPhysical Therapist PT32067 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southland Physical Therapy Inc acts as a billing entity for following providers:
Provider NameJames Kuan Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629085162
PECOS PAC ID: 4183643513
Enrollment ID: I20051115000910
Provider NameJason H Park
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053370239
PECOS PAC ID: 6800975525
Enrollment ID: I20080507000188
Provider NameShanice D Lowe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922475375
PECOS PAC ID: 6406163807
Enrollment ID: I20150917001019
Provider NameThomas Hoan Dinh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124486311
PECOS PAC ID: 9638475932
Enrollment ID: I20160314000620
Provider NameJonathon R Myers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487179008
PECOS PAC ID: 8123386083
Enrollment ID: I20171222000814
Provider NameAndrew William Hodge
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881250645
PECOS PAC ID: 4880929082
Enrollment ID: I20190710002518
Provider NameJames Dimascio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982133039
PECOS PAC ID: 3375815202
Enrollment ID: I20200518000544
Provider NameJulianne Claire Guevarra
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518426121
PECOS PAC ID: 4880015247
Enrollment ID: I20200611000254
Provider NamePaul Tayas Molina
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598253650
PECOS PAC ID: 0648691022
Enrollment ID: I20200611001048
Provider NameJazmin Kan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033750500
PECOS PAC ID: 6305264904
Enrollment ID: I20200914002675
Provider NameSamuel Ha
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457953861
PECOS PAC ID: 4082027396
Enrollment ID: I20210106000168
Provider NamePaul Phuc Nguyen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508469339
PECOS PAC ID: 2668889205
Enrollment ID: I20210329000805
Provider NameFergie Anne Cruz Mercado
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598430712
PECOS PAC ID: 8527465129
Enrollment ID: I20210924000460
Provider NameKristen Carol Pitts
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407013162
PECOS PAC ID: 6103204268
Enrollment ID: I20220601001800
Provider NameJose E Cerda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316682461
PECOS PAC ID: 5991183881
Enrollment ID: I20220606001169
Provider NameIsiah James De Guzman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821716598
PECOS PAC ID: 1759765944
Enrollment ID: I20220907003530
Provider NameHo Jung Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740999333
PECOS PAC ID: 9335511690
Enrollment ID: I20230214002581
Provider NameDonna Kaitlyn Raymundo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225747835
PECOS PAC ID: 4284007725
Enrollment ID: I20230302001826
Provider NamePatricia Herridge
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942918552
PECOS PAC ID: 0840663241
Enrollment ID: I20230306002479
Provider NameMagdalena Avila Lopez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922714088
PECOS PAC ID: 7517330921
Enrollment ID: I20230306002719
Provider NameJordan Antol
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033997333
PECOS PAC ID: 7416305958
Enrollment ID: I20231122001201
Provider NameLaura Catalina Murillo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235603853
PECOS PAC ID: 4082062005
Enrollment ID: I20231130001913
Provider NameCristina Marie Guerrero
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326721218
PECOS PAC ID: 1052760899
Enrollment ID: I20231206000213
Provider NameSami I Jamil
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346024783
PECOS PAC ID: 9638528979
Enrollment ID: I20231212000796
Provider NameConner Eric Pierra
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689427601
PECOS PAC ID: 6002345303
Enrollment ID: I20250131001717
Provider NameJordan Wu
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1487462057
PECOS PAC ID: 8224550108
Enrollment ID: I20250320001108
Provider NameJessica Thornton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487466231
PECOS PAC ID: 9537682752
Enrollment ID: I20250328001465
Provider NameDavid Nham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912718750
PECOS PAC ID: 3375066061
Enrollment ID: I20250403000911
Provider NameTrevor Odell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184489494
PECOS PAC ID: 2466973961
Enrollment ID: I20250403001519
Provider NameJeremiah Amin Abdelmesee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538977343
PECOS PAC ID: 3072037308
Enrollment ID: I20250408003571
Provider NameJorge Ceja Gonzalez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255165874
PECOS PAC ID: 3375060965
Enrollment ID: I20250507001509

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Southland Physical Therapy Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southland Physical Therapy Inc
4482 Barranca Pkwy, Suite 195,
Irvine, CA 92604-7701

Ph: (949) 679-3337		Southland Physical Therapy Inc
4482 Barranca Pkwy Ste 195,
Irvine, CA 92604-4706

Ph: (949) 679-3337

Reviews and Comments


Physical Therapist in Irvine, CA

Kimberly M. Maclean, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606
Phone: 949-265-2442    Fax: 949-265-2448
Ms. Luz O Blake, P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 15715 Rockfield Boulevard, Suite 100, Irvine, CA 92618
Phone: 949-206-9100    Fax: 949-206-1648
Davis Y Koh, DPT, MBA, GCS, CSCS
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 9080 Irvine Center Dr, Irvine, CA 92618
Phone: 949-540-5641    
Denise Marie Lane, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 4482 Barranca Pkwy Ste 195, Irvine, CA 92604
Phone: 949-679-3337    Fax: 949-679-3336
Matthew Hoang, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 17332 Von Karman Ave Ste 120, Irvine, CA 92614
Phone: 949-861-8600    
Shelly A Gadea,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 24 Hammond, Unit C, Irvine, CA 92618
Phone: 949-770-6022    Fax: 949-770-7084
Dr. Jason Ryan Smith, D.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 17332 Von Karman Ave, Suite 120, Irvine, CA 92614
Phone: 949-861-8600    Fax: 949-861-8601

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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