MEDICARE: US HEALTHWORKS

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	225200000X	Physical Therapy Assistant	P1 60293901	WA

General Provider Information

NPI Number	:	1831572692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US HEALTHWORKS

Provider Business Mailing Address
First Line	:	5575 RUFFIN RD
Second Line	:	SUITE 100
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1380
Country	:	US
Telephone Number	:	585-565-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	25285 MADISON AVE
Second Line	:	SUITE 104
City	:	MURRIETA
State	:	CA
Zip	:	92562-8981
Country	:	US
Telephone Number	:	951-600-2990
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	SHERI LEE ALLEY
Credential	:
Telephone Number	:	585-565-1300

Provider Enumeration Date	:	06/29/2015
Last Update Date	:	06/29/2015

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Directions to “US HEALTHWORKS ” Practice Location

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