FUNCTIONAL TRAINING AND REHAB PHYSIOTHERAPY P.C. INC. NPI 1013699016

NPI Information

NPI: 1013699016
Provider Name: FUNCTIONAL TRAINING AND REHAB PHYSIOTHERAPY P.C. INC.
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
40679 BIG BEAR BOULEVARD
#3885
BIG BEAR LAKE, CA
ZIP 92315
Phone: (949) 202-9099
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FUNCTIONAL TRAINING AND REHAB PHYSIOTHERAPY P.C. INC. is a rehabilitation clinic center in Big Bear Lake, CA. FUNCTIONAL TRAINING AND REHAB PHYSIOTHERAPY P.C. INC. NPI is 1013699016. The provider is registered as an organization entity type.

The provider's business location address is:

40679 BIG BEAR BOULEVARD
#3885
BIG BEAR LAKE, CA
ZIP 92315
Phone: (949) 202-9099

The provider's authorized official is Nathan Mcclusky .
The authorized official title is Physical Therapist/owner and has the following contact phone number (949) 202-9099.

The enumeration date for this NPI number is 8/1/2023 and was last updated on 8/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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