Healthcare Provider Details

I. General information

NPI: 1245208990
Provider Name (Legal Business Name): RANCHO PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26881 JEFFERSON AVE STE B
MURRIETA CA
92562-9180
US

IV. Provider business mailing address

30428 HAUN RD STE 810
MENIFEE CA
92584-6824
US

V. Phone/Fax

Practice location:
  • Phone: 951-698-7720
  • Fax: 951-698-7451
Mailing address:
  • Phone: 951-696-9353
  • Fax: 951-973-7216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: GABRIELA LITT
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 951-696-9353