Organization · Type 2 NPI

South Coast Pediatric Physical Therapy, Inc

Speech-Language Pathologist · Cypress, CA

NPI number 1467604694 Active

Practice location

11205 Knott Ave. Suite E
Cypress, CA 90630

Fax (714) 893-7389

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist 2251P0200XPT11759 (CA)
Physical Therapy Assistant 225200000XAT 8808 (CA)
Feeding, Eating & Swallowing Occupational Therapist 225XF0002XOT 3708 (CA)
Pediatric Occupational Therapist 225XP0200XOT6847 (CA)
Speech-Language Pathologist Primary 235Z00000XSP 16790 (CA)

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, resonan…

About NPI 1467604694

South Coast Pediatric Physical Therapy, Inc's National Provider Identifier is 1467604694, issued on Oct 21, 2008. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Cypress, CA. The record was last updated on Mar 2, 2026.