Skip Navigation LinksOPT-SP-CNPI

Licensing and Certification Program

 Contact Us

Phone: (916) 552-8632Skip to main content
Email: CAB@cdph.ca.gov

For application status requests, please include the following in your email:

  • Application ID (if applicable)
  • Name of Facility or Agency
  • License or Facility/Agency # (if applicable)
  • Address
  • Facility or Provider Type
  • Date Documentation Sent
  • Contact Number

Outpatient Physical Therapy/Speech-Language Pathology Providers
Change of National Provider Identifier Application Packet

A rehabilitation clinic may be certified as an Outpatient Physical Therapy and Speech-Language Pathology (OPT/SP) provider in California. An OPT/SP is a rehabilitation agency that provides an integrated interdisciplinary rehabilitation program designed to upgrade the physical functioning of handicapped disabled individuals by bringing specialized rehabilitation staff together to perform as a team and provides at least physical therapy or speech-language pathology services, pursuant to Title 42 Code of Federal Regulations (CFR) section 485.703. 

To report a Change of National Provider Identifier (NPI), you must complete the required application packet. Refer to Title 42 CFR section 424.506 for information regarding NPI enrollment requirements.

How to Apply

An applicant must submit a completed application packet to the Centralized Applications Branch (CAB). The provider instructions are a resource to guide you through the process. The provider checklist identifies the required forms and supporting documents needed to apply for licensing. The Sample Application Packet is a visual aid that displays a sample of the completed forms contained in the application packet.

Please refer to the following links to get started:

Application Packet Forms

Applicants must complete and submit the following forms in the application packet:

Where to Submit Applications

Submit completed application packets to the CAB at the address listed below. Do not send any completed application packets, forms, or supporting documents to the local CDPH, District Office.

          California Department of Public Health
          Licensing and Certification Program
          Centralized Applications Branch
          P.O. Box 997377, MS 3207
          Sacramento, CA 95899-7377

Page Last Updated :