MEDICARE: INSPIRE PHYSICAL THERAPY P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1417602343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRE PHYSICAL THERAPY P.C.

Provider Business Mailing Address
First Line	:	3334 MAMMOTH LAKES DR
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-8004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3334 MAMMOTH LAKES DR
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-8004
Country	:	US
Telephone Number	:	530-520-8795
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALAN HIVALE
Credential	:	DPT
Telephone Number	:	530-520-8795

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	02/18/2022

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Directions to “INSPIRE PHYSICAL THERAPY P.C. ” Practice Location

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