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NPI Code Detail

MEDICARE: ADL PHYSICAL THERAPY PROFESSIONAL CORPORATION

MEDICARE: ADL PHYSICAL THERAPY PROFESSIONAL CORPORATION
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1619859147
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADL PHYSICAL THERAPY PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 5132 YORK BLVD UNIT 50274
Second Line :
City : LOS ANGELES
State : CA
Zip : 90050-1104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17171 APEL LN
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92649-4601
Country : US
Telephone Number : 626-808-3424
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ADAM LAW
Credential : DPT
Telephone Number : 626-808-3424
Provider Enumeration Date : 07/24/2025
Last Update Date : 03/03/2026

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Directions to “ADL PHYSICAL THERAPY PROFESSIONAL CORPORATION ” Practice Location

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