Healthcare Provider Details

I. General information

NPI: 1891408100
Provider Name (Legal Business Name): PHYSICAL THERAPY PLUS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2023
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 EVELYN AVE STE 218
ALBANY CA
94706-1375
US

IV. Provider business mailing address

2005 SHADY CREEK PL
DANVILLE CA
94526-4359
US

V. Phone/Fax

Practice location:
  • Phone: 925-300-7076
  • Fax:
Mailing address:
  • Phone: 925-300-7076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SURN-LEE YEK
Title or Position: OWNER
Credential: DPT
Phone: 925-300-7076