Organization
PHYSICAL RX PHYSICAL THERAPY, INC.
Active
Other names
Physical Rx
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANN GRANGE P.T., DPT, O.C.S. (PRESIDENT)
(714) 374-0233
Entity
Organization
Contact information
Practice address
2130 MAIN ST STE 140, HUNTINGTON BEACH, CA 92648-6441
(714) 374-0233
(714) 374-0244
Mailing address
2130 MAIN ST STE 140, HUNTINGTON BEACH, CA 92648-6441
(714) 374-0233
(714) 374-0244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225600000X
Dance Therapist
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W15666
MEDICARE PTAN
CA
Enumeration date
10/26/2006
Last updated
05/19/2023
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