Personal Edge Physical Therapy, Inc.

LBN: Personal Edge Physical Therapy, Inc.
Personal Edge Physical Therapy, Inc. is an health care organization with primary practice located at 7080 Donlon Way #108, Dublin CA 94568-2787. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Personal Edge Physical Therapy, Inc. can be contacted via phone (925) 556-4310, or through Villa, Gina Mary via phone (925) 556-4310.

Contact Information

Primary practice address
7080 Donlon Way #108 Dublin CA 94568-2787
Fax: (925) 556-0375
Website:
Authorized official contact:
Name: Villa, Gina Mary

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT 23848 California
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT 34053 California

Profile Details

NPI number 1861672958
LBN Legal business name Personal Edge Physical Therapy, Inc.
DBA Doing business as
Authorized official Villa, Gina Mary
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2007
Last updated Jun 18th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861672958 NPPES
California Other ZZZ23426Z MEDICARE PTAN
California Other ZZZ64073Z MEDICARE PTAN

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