MEDICARE: PHYSICAL RX PHYSICAL THERAPY, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	2251E1200X	Ergonomics Physical Therapist
3	2251G0304X	Geriatric Physical Therapist
4	2251H1200X	Hand Physical Therapist
5	2251P0200X	Pediatric Physical Therapist
6	2251X0800X	Orthopedic Physical Therapist
7	225200000X	Physical Therapy Assistant
8	225600000X	Dance Therapist
9	225700000X	Massage Therapist
10	225X00000X	Occupational Therapist
11	2251S0007X	Sports Physical Therapist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	W15666	OTHER	CA	MEDICARE PTAN

General Provider Information

NPI Number	:	1457436578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL RX PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	2130 MAIN ST STE 140
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-6441
Country	:	US
Telephone Number	:	714-374-0233
Fax Number	:	714-374-0244

Provider Business Practice Location Address
First Line	:	2130 MAIN ST STE 140
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-6441
Country	:	US
Telephone Number	:	714-374-0233
Fax Number	:	714-374-0244

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEBORAH ANN GRANGE
Credential	:	P.T., DPT, O.C.S.
Telephone Number	:	714-374-0233

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	05/19/2023

Similar Medicare Providers

1952486052 — DEBORAH ANN GRANGE P.T., O.C.S.
Practice Location Address:

2130 MAIN ST STE 140
HUNTINGTON BEACH, CA
92648-6441

Practice Phone: 714-374-0233
Practice Fax: 714-374-0244

1447503719 — MS. SUSAN CONROY
Practice Location Address:

6441 CRANDALL DR
HUNTINGTON BEACH, CA
92647-4205

Practice Phone: 714-469-3919
Practice Fax:

1437965332 — BRYAN JUSTO ESPINAL ACOSTA
Practice Location Address:

6441 STAFFORD AVE
HUNTINGTON PARK, CA
90255-4214

Practice Phone: 323-501-2316
Practice Fax:

1326854134 — AERIN ESPINAL ACOSTA
Practice Location Address:

6441 STAFFORD AVE
HUNTINGTON PARK, CA
90255-4214

Practice Phone: 323-338-1274
Practice Fax:

1154349546 — MS. TONI ALEXIS SAWCZAK M.D.
Practice Location Address:

2050 NE DIXIE HWY
JENSEN BEACH, FL
34957-6441

Practice Phone: 772-334-2444
Practice Fax: 772-334-4122

1487793303 — LYDON & SAWCZAK MD PA
Practice Location Address:

2050 NE DIXIE HWY
JENSEN BEACH, FL
34957-6441

Practice Phone: 772-334-2444
Practice Fax: 772-334-4122

Directions to “PHYSICAL RX PHYSICAL THERAPY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.