SOUTH COAST THERAPY, INC. (NPI# 1467604694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467604694 |
| Entity Type | Organization |
| Organization Name | SOUTH COAST THERAPY, INC. |
| Practice Address |
11205 Knott Ave Ste E Cypress CA 90630-5489 |
| Practice Telephone | 7148937399 |
| Practice Fax Number | 7148937389 |
| Mailing Telephone | 7148937399 |
| Mailing Fax Number | 7148937389 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2016-02-22 |
| Authorized Official Name | GERALD WAYNE BEELER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7148937399 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT11759 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | AT 8808 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XF0002X |
Occupational Therapist Specialization: Feeding, Eating & Swallowing |
OT 3708 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
OT6847 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | SP 16790 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
11205 KNOTT AVE STE E |
| City | CYPRESS |
| State | CA |
| Zip Code | 90630-5489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471715 | Lauren Witmer | Physical Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2020-09-14 |
| 1538771571 | Haley Scott | Physical Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2020-08-20 |
| 1043852080 | Heather Ponce | Speech-Language Pathologist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2019-10-10 |
| 1245704402 | Jennifer Luong | Occupational Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2019-01-21 |
| 1720590417 | Haylie King | Occupational Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2017-11-02 |
| 1558872457 | Hannah Klein | Occupational Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2017-10-18 |
| 1417474248 | Elaine Katherine Anderson | Occupational Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2017-08-23 |
| 1245784370 | Kayla Nishida Kwan | Occupational Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2016-08-05 |
| 1073067104 | Tina Lee | Physical Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2016-08-05 |
| 1023562337 | Caralee Giebeig | Speech-Language Pathologist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997882 | Selene Monique Bustamante | Assistant Behavior Analyst | 10202 Aurelia Ave, Cypress, CA 90630 | 2020-03-18 |
| 1063068872 | Harriet Lang | Technician | 10717 Thomas Circle, Cypress, CA 90630 | 2019-08-16 |
| 1831756527 | Faye Uy Dds, A Professional Corporation | Dentist | 9521 Valley View St, Cypress, CA 90630 | 2019-05-29 |
| 1538686597 | Genentox Laboratories LLC | Clinical Medical Laboratory | 5252 Orange Avenue, Suite 101, Cypress, CA 90630 | 2017-08-29 |
| 1770007643 | Cory Glen Lovelace | Physical Therapist | 6452 Cantiles Ave, Cypress, CA 90630 | 2017-08-01 |
| 1043749641 | Anna Marie Lonetti | Counselor | 5712 Camp St., Cypress, CA 90630 | 2017-06-07 |
| 1073922969 | Sungsim Hwang | Acupuncturist | 9091 Holder St #120, Cypress, CA 90630 | 2014-08-05 |
| 1821429499 | David Kim Endo Dmd Inc | Dentist | 9242 Walker St. Unit C, Cypress, CA 90630 | 2013-12-09 |
| 1235474941 | Arlen Grajeda | Marriage & Family Therapist | 5712 Campt St, Cypress, CA 90630 | 2012-12-06 |
| 1083968697 | Byungheon Moon | Acupuncturist | 5241 Lincoln Ave. Ste C1, Cypress, CA 90630 | 2012-11-05 |
| Find all providers in zip 90630 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057384 | Izzah Ahmad | Speech-Language Pathologist | 16606 Chalmette Park St, Cypress, TX 77429-4977 | 2020-06-15 |
| 1881194439 | Shanna Morrison | Speech-Language Pathologist | 19418 N Cottonwood Green Ln, Cypress, TX 77433-4182 | 2018-02-20 |
| 1942700802 | Darshiniy Jayakumar | Speech-Language Pathologist | 17010 Seminole Ridge Dr, Cypress, TX 77433-3483 | 2018-02-17 |
| 1972010619 | Venessa Grandjean | Speech-Language Pathologist | 14610 Kelsey Vista Dr, Cypress, TX 77433-6824 | 2018-01-03 |
| 1982133823 | Margaret Halvorson | Speech-Language Pathologist | 13611 Skinner Rd Ste 250, Cypress, TX 77429-4692 | 2017-06-05 |
| 1689101354 | Deana Stell Wier | Speech-Language Pathologist | 17507 Cypress Glen St, Cypress, TX 77429-1245 | 2017-05-12 |
| 1710412176 | Spring Branch Speech Therapy | Speech-Language Pathologist | 12917 Lake Parc Bend Dr, Cypress, TX 77429-6192 | 2017-04-24 |
| 1003362971 | University of Houston | Speech-Language Pathologist | 18202 Tuscana Shores Dr, Cypress, TX 77433-4116 | 2016-08-30 |
| 1942653118 | Fayetta Turner | Speech-Language Pathologist | 18107 E Allen Shore Dr, Cypress, TX 77433-2445 | 2016-07-22 |
| 1558725325 | Roni Wilson | Speech-Language Pathologist | 19307 Egret Wood Way, Cypress, TX 77429-4329 | 2016-04-07 |
| Find all providers in CYPRESS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.