MEDICARE: THERAPY SPECIALISTS

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	314000000X	Skilled Nursing Facility		CA

General Provider Information

NPI Number	:	1669728663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY SPECIALISTS

Provider Business Mailing Address
First Line	:	3760 CONVOY ST
Second Line	:	SUITE 204,
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-3742
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 ESTATES DR
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-9711
Country	:	US
Telephone Number	:	800-326-0419
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE ASSISTANT
Name	:	JESSICA BROOKS
Credential	:
Telephone Number	:	858-514-0375

Provider Enumeration Date	:	07/27/2012
Last Update Date	:	07/27/2012

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Directions to “THERAPY SPECIALISTS ” Practice Location

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