Longevity Physical Therapy

LBN: Function For Life Pt Inc
Longevity Physical Therapy is an health care organization with primary practice located at 227 N El Camino Real Suite 103 , Encinitas CA 92024. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Function For Life Pt Inc can be contacted via phone (760) 230-2316, or through Bloom, Brett via phone (760) 230-2316.

Contact Information

Primary practice address
227 N El Camino Real Suite 103 Encinitas CA 92024
Phone: (760) 230-2316
Fax: (760) 230-2317
Website:
Map and Directions
Authorized official contact:
Name: Bloom, Brett DPT
Phone: (760) 230-2316

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 40858 California

Profile Details

NPI number 1811310170
LBN Legal business name Function For Life Pt Inc
DBA Doing business as Longevity Physical Therapy
Authorized official Bloom, Brett DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2014
Last updated Jan 22nd, 2014 - about 10 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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