MEDICARE: CENTRAL CARE PHYSICAL THERAPY, INC

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	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457514382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL CARE PHYSICAL THERAPY, INC

Provider Business Mailing Address
First Line	:	PO BOX 2378
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-0080
Country	:	US
Telephone Number	:	909-590-7997
Fax Number	:	909-524-4317

Provider Business Practice Location Address
First Line	:	4541 PHILADELPHIA ST.
Second Line	:	SUITE C-103
City	:	CHINO
State	:	CA
Zip	:	91710-3530
Country	:	US
Telephone Number	:	909-590-7997
Fax Number	:	909-524-4317

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTINA UY ABELLON
Credential	:	DPT
Telephone Number	:	909-590-7997

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	06/23/2026

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