Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Lake Physical Therapy, Inc

Organization Physical Therapist · NPI 1053490557

Canyon Lake Physical Therapy, Inc is a Physical Therapist in Canyon Lake, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

31700 Railroad Canyon Rd Ste 1
Canyon Lake, CA 92587-9453
Phone: (951) 246-2670
Fax: (951) 246-2672
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 9115 (CA)

Record details

NPI number1053490557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Stacy — Physical Therapist, Owner · (951) 246-2670
Other names Canyon Lake Physical Therapy
NPI enumeratedNovember 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address31700 Railroad Canyon Rd, Suite 1, Canyon Lake, CA 92587-9453

Other providers in Canyon Lake