NPIMap

State College Physical Therapy Inc.

A Medicare group practice based in Anaheim, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2769454388), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2769454388The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040812000641 CA Part B Supplier - Clinic/Group Practice 1689782310

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (5).

Sources for this page