Excel Rehab Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EXCEL REHAB PHYSICAL THERAPY INC

Practice address

2000 W Kettleman LN
106
Lodi, CA 95242-4334

Phone

(209) 207-0849

NPI assigned

Oct 17, 2014

Last updated

Jan 16, 2015By 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

Gabriel Enescu, PTNPI 1912104472

Title

Ceo

Phone

(916) 479-4948

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• Dhawal Bhanushali, PT

  • Physical Therapist
  • Lodi, CA
  • NPI 1952889461
  Medicare reassignment Care Compare group NPD
• Christina Gavino, DPT

  • Physical Therapist
  • Stockton, CA
  • NPI 1548983992
  Medicare reassignment Care Compare group
• Gabriel Enescu, PT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Lodi, CA
  • NPI 1912104472
  Authorized official Same address or phone
• Andrew Rowerdink

  • Physical Therapist
  • Lodi, CA
  • NPI 1093635310
  NPD
• Lou Fin Saetern, PTA

  • Physical Therapy Assistant
  • Lodi, CA
  • NPI 1295539427
  NPD
• Adela Karina Tapia, PTA

  • Physical Therapy Assistant
  • Lodi, CA
  • NPI 1356150270
  NPD

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1437553583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952410417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W KETTLEMAN LN",
            "address_2": "106",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424334",
            "telephone_number": "209-207-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL REHAB PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "ENESCU",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-479-4948",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lyn Estep
• Mara Kamila A Estoesta, DMD
• Mackenzie Rick Evans
• Scott A Evans, D.O.M., L.AC.
• Evergreen Pharmaceutical of California, LLC (Omnicare of Northern California)
• Express Ways Logistics
• Rhonda Eyzaguirre, PHD, LEP, NCSP
• Ezell Askew MD Inc
• Gordon Thomas Fahey Jr., MD
• Fairmont Dermatology Medical Associates Inc (Abdallah Khourdaji)

• Physical Therapy Clinic/Center in Lodi, CA
• Providers in Lodi, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.