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
FAIRBANKS & POWER PHYSICAL THERAPY CORP.
Active
Organization
FAIRBANKS & POWER PHYSICAL THERAPY CORP.
Active
Other names
PacificPro Physical Therapy & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRET SNYDER FAIRBANKS PT (PRESIDENT/PHYSICAL THERAPIST)
(949) 679-3988
Entity
Organization
Contact information
Practice address
2 PETERS CANYON RD STE 100, IRVINE, CA 92606-1798
(949) 679-3988
(949) 679-7665
Mailing address
2 PETERS CANYON RD STE 100, IRVINE, CA 92606-1798
(949) 679-3988
(949) 679-7665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24357
CA
225100000X
Physical Therapist
Primary
24608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ08309Z
BLUE SHIELD OF CA PIN
CA
Enumeration date
05/25/2006
Last updated
04/26/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up