B&B Physical Therapy, Inc
Organization Active NPI Physical Therapist · Newhall, CA
NPI 1730225525 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1730225525
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT15886 (CA)
- Legal business name
- B&B PHYSICAL THERAPY, INC
- Practice address
- 24355 Lyons Ave Ste 100
Newhall, CA 91321-2332 - Phone
- (661) 753-3404
- Fax
- (661) 290-2639
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Maritza Escobedo
- Title
- Office Manager
- Phone
- (661) 753-3404
Practitioners 5
-
Thomas Weber, DPT
-
Eliza Marie Guillinta, R.P.T
-
Rodney Buchanan, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040927001123 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4486623402 |
Receives reassigned benefits from 4 practitioners Practice locations: Newhall, CA |
National Provider Directory
Locations
11600 Wilshire Blvd
Ste 522
Los Angeles, CA 90025
Phone (310) 477-0018
23656 Pacific Coast Hwy
Malibu, CA 90265
Phone (310) 456-7551
24355 Lyons Ave
Ste 100
Santa Clarita, CA 91321
Phone (661) 255-6644
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PT15886 | CA | Yes |
Addresses
Primary practice location
24355 Lyons Ave Ste 100
Newhall, CA 91321-2332
Mailing address
24355 Lyons Ave Ste 100
Newhall, CA 91321-2332
Phone (661) 753-3404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ47212Z | Other | CA | BLUE SHIELD PROVIDER |
| 200811901 | Other | CA | ACS PROVIDER NUMBER |
Other names
- B&B Physical Therapy Inc
Other providers in Newhall, CA
- Veronica Avalos
- Avangard Souz Business, Inc.
- Aznavour Inc.
- Michael Leon Aznavour
- Sarkis Leon Aznavour
- Brooke Backes
- Sujeong Baek
- Rollieca June Baluyot
- Bao Lan Sun DDS Iinc
- Barbara B Wilson
All providers in Newhall, 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 May 1, 2023. 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.