# PHYSICAL RX PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physical Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457436578
- **Authorized official:** DEBORAH ANN GRANGE P.T., DPT, O.C.S. (PRESIDENT)
- **Authorized official phone:** (714) 374-0233

## Contact information

- **Practice address:** 2130 MAIN ST STE 140, HUNTINGTON BEACH, CA 92648-6441
- **Practice address phone:** (714) 374-0233
- **Practice address fax:** (714) 374-0244
- **Mailing address:** 2130 MAIN ST STE 140, HUNTINGTON BEACH, CA 92648-6441
- **Mailing address phone:** (714) 374-0233
- **Mailing address fax:** (714) 374-0244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251E1200X | Ergonomics Physical Therapist | — | NULL | — |
| 2251E1200X | Ergonomics Physical Therapist | — | — | — |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | — |
| 2251G0304X | Geriatric Physical Therapist | — | — | — |
| 2251H1200X | Hand Physical Therapist | — | NULL | — |
| 2251H1200X | Hand Physical Therapist | — | — | — |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | Yes |
| 2251S0007X | Sports Physical Therapist | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225600000X | Dance Therapist | — | NULL | — |
| 225600000X | Dance Therapist | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 05/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | W15666 | MEDICARE PTAN | CA |