MEDICARE: NEW HORIZON PHYSICAL REHABILITATION 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	:	1679882229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZON PHYSICAL REHABILITATION INC

Provider Business Mailing Address
First Line	:	12568 W. WASHINGTON BLVD.
Second Line	:	SUITE 202
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5521
Country	:	US
Telephone Number	:	323-243-5273
Fax Number	:	323-656-1758

Provider Business Practice Location Address
First Line	:	12568 W. WASHINGTON BLVD.
Second Line	:	SUITE 202
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5521
Country	:	US
Telephone Number	:	323-243-5273
Fax Number	:	323-656-1758

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DIMITRI RIMSKY
Credential	:	RPT
Telephone Number	:	310-200-5879

Provider Enumeration Date	:	09/30/2010
Last Update Date	:	11/10/2010

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