Regain Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REGAIN PHYSICAL THERAPY INC

Practice address

11360 Warner Ave Ste 249
Fountain Valley, CA 92708-4120

Phone

(657) 218-4560

Fax

(657) 218-4685

NPI assigned

Sep 14, 2023

Last updated

Sep 14, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Poulsen, MPTNPI 1659460103

Title

Owner

Phone

(657) 218-4560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard P Poulsen, MPT, ATC

  • Physical Therapist
  • Los Alamitos, CA
  • NPI 1659460103
  Medicare reassignment Care Compare group NPD Authorized official
• Nancy Ceja, OTR/L

  • Specialist
  • Orange, CA
  • NPI 1124427075
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1144007873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 WARNER AVE STE 249",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084120",
            "telephone_number": "657-218-4560",
            "fax_number": "657-218-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 WARNER AVE STE 249",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084120",
            "telephone_number": "657-218-4560",
            "fax_number": "657-218-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAIN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "POULSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "657-218-4560",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Muneeb Rehman, MD
• Ellen Nadine Reich, MD
• Eleanor Reid

• Physical Therapist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.