MEDICARE: NEWCASTLE 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	261Q00000X	Clinic/Center	CA15431	CA

General Provider Information

NPI Number	:	1578645073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWCASTLE PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 59
Second Line	:	215 TAYLOR ROAD
City	:	NEWCASTLE
State	:	CA
Zip	:	95658-0059
Country	:	US
Telephone Number	:	916-663-2300
Fax Number	:	916-663-2330

Provider Business Practice Location Address
First Line	:	215 TAYLOR ROAD
Second Line	:
City	:	NEWCASTLE
State	:	CA
Zip	:	95658-0059
Country	:	US
Telephone Number	:	916-663-2300
Fax Number	:	916-663-2330

Authorized Official
Title or Position	:	PESIDENT CEO
Name	:	MR. CHUCK SPINA
Credential	:	PT
Telephone Number	:	916-663-2300

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	08/22/2020

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