Provider Demographics
NPI:1346757929
Name:ORANGE COUNTY PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:ORANGE COUNTY PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-920-4105
Mailing Address - Street 1:PO BOX 112
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77631-0112
Mailing Address - Country:US
Mailing Address - Phone:409-920-4105
Mailing Address - Fax:409-920-4107
Practice Address - Street 1:3920 W PARK AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-1756
Practice Address - Country:US
Practice Address - Phone:409-920-4105
Practice Address - Fax:409-920-4107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-04
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX683000000208100000X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty