Provider Demographics
NPI:1235455171
Name:ACTION PHYSICAL THERAPY OF SOLEDAD, INC.
Entity Type:Organization
Organization Name:ACTION PHYSICAL THERAPY OF SOLEDAD, INC.
Other - Org Name:ACTION PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:DARRYL
Authorized Official - Last Name:SCHMITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:831-252-8242
Mailing Address - Street 1:359 GABILAN DR
Mailing Address - Street 2:
Mailing Address - City:SOLEDAD
Mailing Address - State:CA
Mailing Address - Zip Code:93960-3550
Mailing Address - Country:US
Mailing Address - Phone:831-678-0516
Mailing Address - Fax:831-678-0518
Practice Address - Street 1:359 GABILAN DR
Practice Address - Street 2:
Practice Address - City:SOLEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960-3550
Practice Address - Country:US
Practice Address - Phone:831-678-0516
Practice Address - Fax:831-678-0518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy