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

Pacific Coast Sports & Physical Therapy Inc

Organization Orthopedic Physical Therapist · NPI 1316970486

Pacific Coast Sports & Physical Therapy Inc is an Orthopedic Physical Therapist in San Jose, 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

1177 W San Carlos St
San Jose, CA 95126-3441
Phone: (714) 402-1112
Fax: (408) 993-0381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT21215 (CA)

Record details

NPI number1316970486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Le — President · (714) 402-1112
NPI enumeratedJuly 9, 2006
Last updated in NPPESAugust 22, 2020
Mailing address9362 Crosby Ave, Garden Grove, CA 92844-1507

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