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

Costa Sports Physical Therapy Inc

Organization Physical Therapist · NPI 1184088379

Costa Sports Physical Therapy Inc is a Physical Therapist in Placentia, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
9
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

1041 E Yorba Linda Blvd Ste 209
Placentia, CA 92870-3728
Phone: (714) 831-1844
Fax: (949) 482-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (CA)
Cardiopulmonary Physical Therapist Taxonomy 2251C2600X (CA)
Ergonomics Physical Therapist Taxonomy 2251E1200X (CA)
Geriatric Physical Therapist Taxonomy 2251G0304X (CA)
Human Factors Physical Therapist Taxonomy 2251H1300X (CA)
Neurology Physical Therapist Taxonomy 2251N0400X (CA)
Pediatric Physical Therapist Taxonomy 2251P0200X (CA)
Sports Physical Therapist Taxonomy 2251S0007X (CA)
Orthopedic Physical Therapist Taxonomy 2251X0800X (CA)

Record details

NPI number1184088379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cary Costa — Owner/Physical Therapist · (971) 998-4484
NPI enumeratedApril 13, 2016
Last updated in NPPESMay 4, 2016
Mailing address1041 E Yorba Linda Blvd, Suite 209, Placentia, CA 92870-3728

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