MEDICARE: BAKERSFIELD SPORTS MEDICINE AND REHABILITATIVE 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1598872376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAKERSFIELD SPORTS MEDICINE AND REHABILITATIVE PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	4300 STINE RD STE 108
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-2352
Country	:	US
Telephone Number	:	661-834-2300
Fax Number	:	661-834-2635

Provider Business Practice Location Address
First Line	:	4300 STINE RD
Second Line	:	SUITE 108
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-2352
Country	:	US
Telephone Number	:	661-834-2300
Fax Number	:	661-834-2635

Authorized Official
Title or Position	:	CFO
Name	:	ANTHONY GLADE FREHNER
Credential	:
Telephone Number	:	661-834-2300

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	05/21/2026

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