RECHARGE PHYSICAL THERAPY, INC (NPI# 1043833346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043833346 |
| Entity Type | Organization |
| Organization Name | RECHARGE PHYSICAL THERAPY, INC |
| Practice Address |
1777 N Bellflower Blvd Ste 205 Long Beach CA 90815-4020 |
| Practice Telephone | 5622853449 |
| Practice Fax Number | 4242105112 |
| Mailing Telephone | 5622853449 |
| Mailing Fax Number | 4242105112 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | DR. CARRI DOMINICK (CEO) |
| Authorized Official Telephone | 5622853449 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Recharge Therapy | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 647 W 9th St, San Pedro, CA 907313107 | 5622853449 |
| Street Address |
1777 N BELLFLOWER BLVD STE 205 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093186173 | Ran Abe | Dietitian, Registered | 1777 N Bellflower Blvd Ste 205, Long Beach, CA 90815-4020 | 2015-10-14 |
| 1134696032 | Rachel E Blaine | Dietitian, Registered | 1777 N Bellflower Blvd Ste 205, Long Beach, CA 90815-4020 | 2018-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841507993 | Lisa Nathanson, P.t. P.C. | Clinic/Center | 659 Shore Rd, 7b, Long Beach, NY 11561-4681 | 2010-09-10 |
| 1235313230 | C.a.r.e. Evaluators, LLC | Clinic/Center | 111 W Victoria St, Long Beach, CA 90805-2162 | 2007-12-27 |
| 1871716506 | Family Physical Therapy of South Ms | Clinic/Center | 19020 Pineville Rd, Suite 4, Long Beach, MS 39560-4564 | 2007-04-11 |
| 1205931482 | Advanced Orthopedic Physical Therapy | Clinic/Center | 4510 Pacific Coast Highway, Suite 305, Long Beach, CA 90804 | 2006-09-13 |
| 1902840721 | Matrix Rehabilitation, Inc. | Clinic/Center | 2401 E Wardlow Rd, M/c Co54-0405, Long Beach, CA 90807-5309 | 2006-06-15 |
| 1215396627 | Physical Therapy Fitness Team, Inc | Clinic/Center | 3535 E 7th St, Long Beach, CA 90804-5138 | 2016-02-12 |
| 1134521461 | Peak Physical Therapy and Wellness PC | Clinic/Center | 2713 Hackett Ave, Long Beach, CA 90815-1547 | 2014-09-18 |
| 1700195286 | Encore Rehabilitation, Inc. | Clinic/Center | 5132 Beatline Rd, Suite D, Long Beach, MS 39560-3869 | 2010-09-30 |
| 1740427673 | Parisa Refaat Physical Therapy Inc. | Clinic/Center | 4028 E Broadway, Long Beach, CA 90803-1502 | 2009-01-14 |
| 1225204605 | Atlarhea Physical Therapy Service | Clinic/Center | 1954 Atlantic Ave, Long Beach, CA 90806-5510 | 2008-05-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on RECHARGE PHYSICAL THERAPY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.