Provider Demographics
NPI:1528212784
Name:EXCEL PHYSICAL THERAPY ASSOCIATES INC.
Entity Type:Organization
Organization Name:EXCEL PHYSICAL THERAPY ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:HANKS-OPSATA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MHSC, MTC
Authorized Official - Phone:310-483-8500
Mailing Address - Street 1:4720 EMERALD ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-2810
Mailing Address - Country:US
Mailing Address - Phone:310-483-8500
Mailing Address - Fax:310-214-9730
Practice Address - Street 1:28901 S WESTERN AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-0828
Practice Address - Country:US
Practice Address - Phone:310-483-8500
Practice Address - Fax:310-214-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy