Healthcare Provider Details

I. General information

NPI: 1427576503
Provider Name (Legal Business Name): IPA PHYSIO OC PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2017
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9891 IRVINE CENTER DRIVE SUITE 110
IRVINE CA
92618
US

IV. Provider business mailing address

9891 IRVINE CENTER DR STE 110
IRVINE CA
92618-4318
US

V. Phone/Fax

Practice location:
  • Phone: 949-232-1955
  • Fax: 949-668-7822
Mailing address:
  • Phone: 805-259-8209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PETER RUMFORD
Title or Position: PARTNER/CLINIC DIRECTOR
Credential: DPT, FAAOMPT, FFMT,
Phone: 949-232-1955