Pacificpro Physical Therapy & Sports Medicine
LBN: Fairbanks & Power Physical Therapy Corp.
Pacificpro Physical Therapy & Sports Medicine is an health care organization with primary practice located at 2 Peters Canyon Rd Ste 100 , Irvine CA 92606-1798. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Fairbanks & Power Physical Therapy Corp. can be contacted via phone (949) 679-3988, or through Fairbanks, Bret Snyder via phone (949) 679-3988.
Contact Information
Primary practice address
2 Peters Canyon Rd Ste 100
Irvine CA 92606-1798
Phone: (949) 679-3988
Fax: (949) 679-7665
Website:
Authorized official contact:
Name: Fairbanks, Bret Snyder Physical Therapist (PT)
Phone: (949) 679-3988
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 24608 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 24357 | California |
Profile Details
| NPI number | 1912953936 |
|---|---|
| LBN Legal business name | Fairbanks & Power Physical Therapy Corp. |
| DBA Doing business as | Pacificpro Physical Therapy & Sports Medicine |
| Authorized official | Fairbanks, Bret Snyder Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Apr 26th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912953936 | NPPES |
| California | Other | ZZZ08309Z | BLUE SHIELD OF CA PIN |
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