MEDICARE: NORCAL PERFORMANCE 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1811754518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORCAL PERFORMANCE PHYSICAL THERAPY P.C.

Provider Business Mailing Address
First Line	:	431 COLLEGE ST
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-3908
Country	:	US
Telephone Number	:	720-272-0046
Fax Number	:

Provider Business Practice Location Address
First Line	:	431 COLLEGE ST
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-3908
Country	:	US
Telephone Number	:	720-272-0046
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	EMILY MCKAY
Credential	:	PT, DPT
Telephone Number	:	720-272-0046

Provider Enumeration Date	:	02/29/2024
Last Update Date	:	09/20/2024

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Directions to “NORCAL PERFORMANCE PHYSICAL THERAPY P.C. ” Practice Location

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