Healthcare Provider Details
I. General information
NPI: 1013500081
Provider Name (Legal Business Name): ZENITH PERFORMANCE PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/19/2021
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
965 E BROADWAY
LONG BEACH CA
90802-5339
US
IV. Provider business mailing address
965 E BROADWAY
LONG BEACH CA
90802-5339
US
V. Phone/Fax
- Phone: 562-502-1767
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAYDEN
ALMEIDA
Title or Position: OWNER, PHYSICAL THERAPIST
Credential:
Phone: 864-431-3771