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

Clear Lake Physical Therapy Inc

Organization Physical Therapist · NPI 1477502912

Clear Lake Physical Therapy Inc is a Physical Therapist in Clearlake, 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

14855 Olympic Dr
Clearlake, CA 95422-9522
Phone: (707) 994-7248
Fax: (707) 994-7248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT17230 (CA)

Record details

NPI number1477502912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Hurst — Owner · (707) 263-1295
NPI enumeratedMay 10, 2006
Last updated in NPPESDecember 7, 2009
Mailing address14855 Olympic Dr, Po Box 3288, Clearlake, CA 95422-9522

Other providers in Clearlake