Provider Demographics
NPI:1477086643
Name:NRP PHYSICAL THERAPY CORP.
Entity Type:Organization
Organization Name:NRP PHYSICAL THERAPY CORP.
Other - Org Name:NEURO REHAB PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:310-337-7600
Mailing Address - Street 1:6133 BRISTOL PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6670
Mailing Address - Country:US
Mailing Address - Phone:310-337-7600
Mailing Address - Fax:310-337-7607
Practice Address - Street 1:6133 BRISTOL PKWY STE 200
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6670
Practice Address - Country:US
Practice Address - Phone:310-337-7600
Practice Address - Fax:310-337-7607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy