Agape Physical Therapy Inc.
Organization Active NPI Physical Therapy Clinic/Center · Glendora, CA
NPI 1508933052 · NPPES record last updated Apr 27, 2026
Key facts
- NPI
- 1508933052
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- AGAPE PHYSICAL THERAPY INC.
- Practice address
- 765 W Route 66 Ste C
Glendora, CA 91740-4160 - Phone
- (626) 857-4711
- Fax
- (626) 857-4712
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Mary Atalla Shahid, P.T.
- Title
- Owner, Vice President
- Phone
- (626) 429-3521
Practitioners 7
-
Mary Atalla Shahid, P.T.
-
Nader S Shahid, PHYSICAL THERAPIST
-
Abraham Lopez, DPT, PT
-
Diane Nguyen, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050727001150 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9133157571 |
Receives reassigned benefits from 6 practitioners Practice locations: Glendora, CA; Rancho Cucamonga, CA |
National Provider Directory
Locations
765 W Route 66
Ste C
Glendora, CA 91740
Phone (626) 429-3521
765 W Route 66
Glendora, CA 91740
1347 S Grand Ave
Ste B
Glendora, CA 91740
841 E Route 66
Glendora, CA 91740
Phone (626) 857-4710
1347 S Grand Ave
Glendora, CA 91740
Phone (626) 857-4711
9687 Base Line Rd
Rancho Cucamonga, CA 91730
9687 Base Line Rd
RCH Cucamonga, CA 91730
9689 Base Line Rd
Rch Cucamonga, CA 91730
Phone (909) 646-3663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PT20032 | CA | |
| Physical Therapist |
225100000X | PT19905 | CA | |
| Hand Occupational Therapist |
225XH1200X | OT260 | CA | |
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
765 W Route 66 Ste C
Glendora, CA 91740-4160
Mailing address
765 W Route 66 Ste C
Glendora, CA 91740-4160
Phone (626) 857-4711
Other practice location 1
9689 Base Line Rd
Rancho Cucamonga, CA 91730-1314
Phone (909) 646-3663
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All providers in Glendora, CA · Physical Therapy Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2026. 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.