Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
AGELESS PHYSICAL THERAPY PC
Active
Organization
AGELESS PHYSICAL THERAPY PC
Active
Other names
FOREVER YOUNG THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
NADER THEODORY PT (OWNER)
(714) 944-3289
Entity
Organization
Contact information
Practice address
1600 W COAST HWY STE G, NEWPORT BEACH, CA 92663-5000
(949) 272-3325
(949) 333-2962
Mailing address
1600 W COAST HWY STE G, NEWPORT BEACH, CA 92663-5000
(949) 272-3325
(949) 333-2962
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
08/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers