Healthcare Provider Details
I. General information
NPI: 1407331036
Provider Name (Legal Business Name): WELLWORKS PHYSICAL THERAPY AND REHABILITATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2018
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 W GLENOAKS BLVD
GLENDALE CA
91202-2813
US
IV. Provider business mailing address
500 W GLENOAKS BLVD
GLENDALE CA
91202-2813
US
V. Phone/Fax
- Phone: 747-272-0027
- Fax: 747-272-0041
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XH1200X |
| Taxonomy | Hand Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRISTINA
STEWART
Title or Position: PRESIDENT
Credential: DPT
Phone: 747-272-0027