Primitive Therapy Physical Therapy Inc

LBN: Primitive Therapy Physical Therapy Inc
Primitive Therapy Physical Therapy Inc is an health care organization with primary practice located at 22691 Lambert St Ste 520 , Lake Forest CA 92630-1614. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Primitive Therapy Physical Therapy Inc can be contacted via phone (949) 310-4276, or through Caldwell, Jacob Matthew via phone (949) 310-4276.

Contact Information

Primary practice address
22691 Lambert St Ste 520 Lake Forest CA 92630-1614
Phone: (949) 310-4276
Fax: (888) 390-1433
Website:
Map and Directions
Authorized official contact:
Name: Caldwell, Jacob Matthew DPT
Phone: (949) 310-4276

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1083846976
LBN Legal business name Primitive Therapy Physical Therapy Inc
DBA Doing business as
Authorized official Caldwell, Jacob Matthew DPT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2009
Last updated Dec 7th, 2009 - about 17 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 1083846976 NPPES
California Other CL344A MEDICARE PTAN

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