Healthcare Provider Details

I. General information

NPI: 1407002561
Provider Name (Legal Business Name): PT PLUS REHAB, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 08/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7860 IMPERIAL HWY C
DOWNEY CA
90242-3464
US

IV. Provider business mailing address

24 HAMMOND UNIT C
IRVINE CA
92618-1680
US

V. Phone/Fax

Practice location:
  • Phone: 562-869-8525
  • Fax: 562-866-7786
Mailing address:
  • Phone: 949-770-6022
  • Fax: 949-770-7084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number3121618
License Number StateCA

VIII. Authorized Official

Name: LINDA FITZGERALD
Title or Position: OWNER
Credential:
Phone: 949-595-8635