Deborah Ann Grange, P.T., O.C.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21804 Issued in CA

Practice address

2130 Main St Ste 140
Huntington Beach, CA 92648-6441

Phone

(714) 374-0233

Fax

(714) 374-0244

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Deborah Ann Davidson Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical RX Physical Therapy IncGroup PAC ID 8820195233, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical RX Physical Therapy, Inc.

  • Sports Physical Therapist
  • Huntington Beach, CA
  • NPI 1457436578
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1952486052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MAIN ST STE 140",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486441",
            "telephone_number": "714-374-0233",
            "fax_number": "714-374-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MAIN ST STE 140",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486441",
            "telephone_number": "714-374-0233",
            "fax_number": "714-374-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGE",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "P.T., O.C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WPT21804A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "DAVIDSON",
            "middle_name": "ANN",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah A Grace
• Graciela K Sullivan DDS Inc
• Adam David Graham
• Kristjana Dianne Graham, NCTMB
• Lina Granberg
• Ashley Granger
• Natalie Granofsky
• Tanisha Grant
• Bri'Andra Grantham, FNP
• Denee Grauberger

• Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.