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

Dr. Cary Costa, DPT

Individual provider Orthopedic Physical Therapist · NPI 1952690901

Dr. Cary Costa, DPT is a Physical Therapist in Private Practice in Lake Forest, California. Qualified in 2010, 16 years ago. Practices with Premier Physical Therapy Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2011
Specialties on file
8
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

22821 Lake Forest Dr Ste 115
Lake Forest, CA 92630-1606
Phone: (949) 716-5050
Fax: (949) 482-2122
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT37671 (CA)
Physical Therapist Taxonomy 225100000X
Cardiopulmonary Physical Therapist Taxonomy 2251C2600X
Sports Physical Therapist Taxonomy 2251S0007X
Ergonomics Physical Therapist Taxonomy 2251E1200X
Geriatric Physical Therapist Taxonomy 2251G0304X
Pediatric Physical Therapist Taxonomy 2251P0200X
Hand Physical Therapist Taxonomy 2251H1200X

Record details

NPI number1952690901
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedMarch 30, 2011
Last updated in NPPESApril 14, 2016
Mailing address22821 Lake Forest Dr, Suite 115, Lake Forest, CA 92630-1606

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Premier Physical Therapy Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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