Healthcare Provider Details

I. General information

NPI: 1164544094
Provider Name (Legal Business Name): REGENCY THERAPY RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 HUNTINGTON DR SUITE 19
SAN MARINO CA
91108-2655
US

IV. Provider business mailing address

2275 HUNTINGTON DR # 907
SAN MARINO CA
91108-2640
US

V. Phone/Fax

Practice location:
  • Phone: 626-486-0775
  • Fax: 626-486-0776
Mailing address:
  • Phone: 626-486-0775
  • Fax: 626-486-0776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ROSE S CHU
Title or Position: DIRECTOR
Credential: PT
Phone: 626-486-0775