Engage Physical Therapy Inc.
Organization Active NPI Physical Therapist · Shafter, CA
NPI 1225501281 · NPPES record last updated Jan 2, 2019
Key facts
- NPI
- 1225501281
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ENGAGE PHYSICAL THERAPY INC.
- Practice address
- 1160 E Lerdo Hwy Unit B
Shafter, CA 93263-9417 - Phone
- (661) 200-9660
- NPI assigned
- Jan 2, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Zachary Michael Luce, PT,DPT,OCS,SCS
- Title
- Owner/Director
- Phone
- (661) 200-9660
Practitioners 2
-
Zachary Michael Luce, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190703002151 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7214260207 |
Receives reassigned benefits from 2 practitioners Practice locations: Bakersfield, CA |
National Provider Directory
Locations
5300 Lennox Ave
Ste 200
Bakersfield, CA 93309
Phone (661) 200-9660
1160 E Lerdo Hwy
Unit B
Shafter, CA 93263
Phone (661) 200-9660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1160 E Lerdo Hwy Unit B
Shafter, CA 93263-9417
Mailing address
1160 E Lerdo Hwy Unit B
Shafter, CA 93263-9417
Phone (661) 200-9660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29807 | Other | CA | PT LICENSE NUMBER |
Other providers in Shafter, CA
- Leonesha Diggs
- Kelly Leann Duncan
- Dycora Transitional Health - Shafter LLC
- Eliza R Dyer
- Maria Luisa Elias
- Amgad A Faragalla
- Haylee Foch
- Joseph Alberto Francisco
- Trude L. Frazer
- James Fuller
All providers in Shafter, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.