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General NPI Number Information
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NPI Number | 1811713274
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Entity Type | Organization
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Legal Business Name | NEX LVL PHYSICAL THERAPY AND PERFORMANCE
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1274 S MACDUFF ST
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City | ANAHEIM
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State | CA
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Zip | 92804-8057
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Country | US
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Telephone | 562-618-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 1274 S MACDUFF ST
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City | ANAHEIM
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State | CA
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Zip | 92804-8057
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Country | US
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Telephone | 562-618-2227
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | ISAYA MICHAEL REYES
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Credential | DPT
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Telephone | 562-618-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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