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

Canyon Lake Physical Therapy, Inc

Organization Physical Therapist · NPI 1053490557

Canyon Lake Physical Therapy, Inc provides Physical Therapist services in Canyon Lake, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

31700 Railroad Canyon Rd Ste 1
Canyon Lake, CA 92587-9453
Phone: (951) 246-2670
Fax: (951) 246-2672
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 9115 (CA)

Record details

NPI number1053490557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Stacy — Physical Therapist, Owner · (951) 246-2670
Other names Canyon Lake Physical Therapy
NPI enumeratedNovember 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address31700 Railroad Canyon Rd, Suite 1, Canyon Lake, CA 92587-9453

Other providers in Canyon Lake