Healthcare Provider Details

I. General information

NPI: 1780147330
Provider Name (Legal Business Name): ORANGE COUNTY PHYSICAL THERAPY OCPT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 04/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2135 WESTCLIFF DR STE 203
NEWPORT BEACH CA
92660-5512
US

IV. Provider business mailing address

2135 WESTCLIFF DR STE 203
NEWPORT BEACH CA
92660-5512
US

V. Phone/Fax

Practice location:
  • Phone: 949-379-8400
  • Fax: 949-264-2811
Mailing address:
  • Phone: 949-379-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. VICTOR SIMON RUSENESCU
Title or Position: PHYSICAL THERAPIST/PRESIDENT
Credential:
Phone: 949-379-8400