Prime Active Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRIME ACTIVE PHYSICAL THERAPY, INC.

Practice address

1817 W Orangethorpe Ave
Fullerton, CA 92833-4405

Phone

(714) 449-0911

Fax

(714) 449-2005

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Maricar Fanuga, PTNPI 1841741964

Title

Ceo

Phone

(562) 382-3751

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maricar Fanuga, PT

  • Physical Therapist
  • Downey, CA
  • NPI 1841741964
  NPD Authorized official

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1699390187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8916 REYDON ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902425236",
            "telephone_number": "562-382-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334405",
            "telephone_number": "714-449-0911",
            "fax_number": "714-449-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ACTIVE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "FANUGA",
        "authorized_official_first_name": "MARICAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-382-3751",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Brooke Press
• Tiesha Preston
• Pretzinger Good Health Chiropractic Inc
• David Pretzinger, D.C.
• Andrea Pribac, ANCP-BC
• Prime Consult and Care Inc
• Prime Healthshare
• Prime Medical Supply LLC
• Prime Physical Therapy
• Prime Senior Care Homes L.L.C

• Physical Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.