Imperial Physical Therapy P C

LBN: Imperial Physical Therapy P C
Imperial Physical Therapy P C is an health care organization with primary practice located at 12550 Hesperia Rd Ste 220 , Victorville CA 92395-5873. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Imperial Physical Therapy P C can be contacted via phone (909) 509-6064, or through Tayag, Eleazar via phone (909) 509-6064.

Contact Information

Primary practice address
12550 Hesperia Rd Ste 220 Victorville CA 92395-5873
Phone: (909) 509-6064
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tayag, Eleazar PT, DPT
Phone: (909) 509-6064

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1326890385
LBN Legal business name Imperial Physical Therapy P C
DBA Doing business as
Authorized official Tayag, Eleazar PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2024
Last updated Apr 3rd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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