Provider Demographics
NPI:1093104333
Name:COURY & BUEHLER PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:COURY & BUEHLER PHYSICAL THERAPY, INC.
Other - Org Name:COURY & BUEHLER PHYSICAL THERAPY - LAKE FOREST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, CEO, CFO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:COURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-256-5074
Mailing Address - Street 1:3230 E IMPERIAL HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-6735
Mailing Address - Country:US
Mailing Address - Phone:714-988-8113
Mailing Address - Fax:714-988-8114
Practice Address - Street 1:24301 MUIRLANDS BLVD
Practice Address - Street 2:SUITE T
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-3627
Practice Address - Country:US
Practice Address - Phone:949-271-0012
Practice Address - Fax:949-271-0013
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COURY & BUEHLER PHYSICAL THERAPY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-09
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225100000X
261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty