Healthcare Provider Details

I. General information

NPI: 1043833346
Provider Name (Legal Business Name): RECHARGE PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2020
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 REDONDO AVE STE 7
LONG BEACH CA
90804-2845
US

IV. Provider business mailing address

1355 REDONDO AVE STE 7
LONG BEACH CA
90804-2845
US

V. Phone/Fax

Practice location:
  • Phone: 562-285-3449
  • Fax: 424-210-5112
Mailing address:
  • Phone: 562-285-3449
  • Fax: 424-210-5112

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: DR. CARRI DOMINICK
Title or Position: CEO
Credential: PT
Phone: 562-285-3449