MEDICARE: NEXT LEVEL PHYSICAL THERAPY AND ATHLETIC PERFORMANCE, PC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1932557576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT LEVEL PHYSICAL THERAPY AND ATHLETIC PERFORMANCE, PC

Provider Business Mailing Address
First Line	:	23206 LYONS AVE STE 105
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91321-2671
Country	:	US
Telephone Number	:	661-383-9828
Fax Number	:	661-206-4153

Provider Business Practice Location Address
First Line	:	23206 LYONS AVE STE 105
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-2671
Country	:	US
Telephone Number	:	310-430-0005
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. AMY LYNNE WUNSCH
Credential	:
Telephone Number	:	310-430-0005

Provider Enumeration Date	:	05/24/2016
Last Update Date	:	10/08/2024

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