Provider Demographics
NPI:1477822807
Name:COURY & BUEHLER PHYSICAL THERAPY - IRVINE, INC.
Entity Type:Organization
Organization Name:COURY & BUEHLER PHYSICAL THERAPY - IRVINE, INC.
Other - Org Name:COURY & BUEHLER PHYSICAL THERAPY - IRVINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position: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:PT, MPT, OCS, ATC
Authorized Official - Phone:714-256-5074
Mailing Address - Street 1:250 E YALE LOOP
Mailing Address - Street 2:STE. 201
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4697
Mailing Address - Country:US
Mailing Address - Phone:949-265-2442
Mailing Address - Fax:949-265-2448
Practice Address - Street 1:250 E YALE LOOP
Practice Address - Street 2:STE. 201
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4697
Practice Address - Country:US
Practice Address - Phone:949-265-2442
Practice Address - Fax:949-265-2448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CA261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty