Organization Active NPI

Realform Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • San Gabriel, CA
National Provider Identifier
1912836511
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REALFORM PHYSICAL THERAPY, INC.
Practice address
317 W Las Tunas Dr Ste 205
San Gabriel, CA 91776-1266
Phone
(415) 932-9046
NPI assigned
May 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Anthony Lin Liang, DPTNPI 1679431894
Title
Physical Therapist
Phone
(415) 932-9046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

317 W Las Tunas Dr Ste 205
San Gabriel, CA 91776-1266

Mailing address

317 W Las Tunas Dr Ste 205
San Gabriel, CA 91776-1266
Phone (415) 932-9046

National Provider Directory

National Provider Directory

Locations

317 W Las Tunas Dr
Ste 205
San Gabriel, CA 91776
Phone (415) 932-9046

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1912836511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W LAS TUNAS DR STE 205",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761266",
            "telephone_number": "415-932-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W LAS TUNAS DR STE 205",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761266",
            "telephone_number": "415-932-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALFORM PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "415-932-9046",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.