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NPI Code Detail

MEDICARE: ACCELERATE PHYSICAL THERAPY, PC

MEDICARE: ACCELERATE PHYSICAL THERAPY, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1104301258
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCELERATE PHYSICAL THERAPY, PC
Provider Business Mailing Address
First Line : 1600 DOVE ST STE 100
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2438
Country : US
Telephone Number : 949-502-3388
Fax Number : 949-502-3304
Provider Business Practice Location Address
First Line : 1600 DOVE ST STE 100
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2438
Country : US
Telephone Number : 949-502-3388
Fax Number : 949-502-3304
Authorized Official
Title or Position : OWNER, DIRECTOR, MANAGING PARTNER
Name : SHAWN JEFFREY MEAD
Credential : DPT
Telephone Number : 949-502-3388
Provider Enumeration Date : 09/25/2018
Last Update Date : 12/10/2018

Similar Medicare Providers

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1093258022 — HELSE PHYSICAL THERAPY AND REHABILITATION INC.
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1356886600 — MR. RYAN DAVID KING D.P.T.
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1326732520 — JOSH DARNBROUGH DPT
Practice Location Address:
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Practice Fax: 949-502-3304

Directions to “ACCELERATE PHYSICAL THERAPY, PC ” Practice Location

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