Provider Demographics
NPI:1265673842
Name:HEALTH QUEST PHYSICAL THERAPY GROUP INC
Entity Type:Organization
Organization Name:HEALTH QUEST PHYSICAL THERAPY GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ADDISON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MPT
Authorized Official - Phone:714-625-7989
Mailing Address - Street 1:PO BOX 1132
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92609-1132
Mailing Address - Country:US
Mailing Address - Phone:888-564-2081
Mailing Address - Fax:949-916-1403
Practice Address - Street 1:26941 CABOT RD
Practice Address - Street 2:103
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-7030
Practice Address - Country:US
Practice Address - Phone:888-564-2081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA346022251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty