MEDICARE: LB 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
1	225100000X	Physical Therapist	PT13316	CA

General Provider Information

NPI Number	:	1356383913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LB PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	820 2ND ST
Second Line	:
City	:	LOS BANOS
State	:	CA
Zip	:	93635-4124
Country	:	US
Telephone Number	:	209-826-8623
Fax Number	:	209-826-1433

Provider Business Practice Location Address
First Line	:	820 2ND ST
Second Line	:
City	:	LOS BANOS
State	:	CA
Zip	:	93635-4124
Country	:	US
Telephone Number	:	209-826-8623
Fax Number	:	209-826-1433

Authorized Official
Title or Position	:	PRESIDENT/PT
Name	:	MR. MALCOLM DANIEL NATION
Credential	:	PT
Telephone Number	:	209-826-8623

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	09/19/2023

Similar Medicare Providers

1770622599 — MR. MALCOLM DANIEL NATION PT
Practice Location Address:

820 2ND ST
LOS BANOS, CA
93635-4124

Practice Phone: 209-826-8623
Practice Fax: 209-826-1433

1619135688 — BENJAMIN J. SEATON D.D.S.
Practice Location Address:

816 2ND ST
LOS BANOS, CA
93635-4124

Practice Phone: 209-826-8100
Practice Fax: 209-826-0243

1962054700 — JASON ANTHONY BENDAS DDS
Practice Location Address:

816 2ND ST
LOS BANOS, CA
93635-4124

Practice Phone: 209-826-8100
Practice Fax:

1811872781 — BRENDAN LEE DDS
Practice Location Address:

816 2ND ST
LOS BANOS, CA
93635-4124

Practice Phone: 209-812-0041
Practice Fax:

1649157389 — MS. BIANCA MARIA ROCHA RDH, BSDH, BS
Practice Location Address:

816 2ND ST
LOS BANOS, CA
93635-4124

Practice Phone: 209-812-0041
Practice Fax:

1245438159 — EDWARD E PALAFOX PT
Practice Location Address:

4124 W AVENUE 41
LOS ANGELES, CA
90065-3805

Practice Phone: 626-383-6850
Practice Fax:

Directions to “LB PHYSICAL THERAPY PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.