Fuqua Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9856 Issued in CA

Legal business name

FUQUA PHYSICAL THERAPY, INC

Practice address

6560 Greenback Lane #100
Citrus Heights, CA 95621

Phone

(916) 723-3372

Fax

(916) 722-5098

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles Scott Fuqua, RPT

Title

Registered Physical Therapist Owner

Phone

(916) 723-3372

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1962593590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 GREENBACK LANE #100",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95621",
            "telephone_number": "916-723-3372",
            "fax_number": "916-722-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 GREENBACK LANE #100",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95621",
            "telephone_number": "916-723-3372",
            "fax_number": "916-722-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUQUA PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "FUQUA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "REGISTERED PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "916-723-3372",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "9856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Fuentes
• Fredrick H Fuerst, O.D.
• Ajaya L Fullmore
• Vildana Kapidzic Fulton, M.A.
• Izabelle Funderburk
• Charles Scott Fuqua, REGISTERED PHYSICAL
• Galina G Furdui
• Shaila Louise Furtado
• Douglas Diontay Gaffney Jr.
• John Gagnon, BCBA

• Physical Therapist in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.