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

Wellcare Physical Therapy Inc

Organization Physical Therapist · NPI 1104002518

Wellcare Physical Therapy Inc is a Physical Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

4157 Eagle Rock Blvd Ste 7
Los Angeles, CA 90065-4492
Phone: (323) 982-1566
Fax: (323) 982-1680
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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 15084 (CA)

Record details

NPI number1104002518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Gomez — Owner · (323) 982-1566
NPI enumeratedJanuary 15, 2008
Last updated in NPPESApril 16, 2008
Mailing address4157 Eagle Rock Blvd, Suite 7, Los Angeles, CA 90065-4492

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