Provider Demographics
NPI:1538110861
Name:RAUSCH PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:RAUSCH PHYSICAL THERAPY, INC.
Other - Org Name:RAUSCH ORTHOPEDIC REHABILITATION & PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-276-5401
Mailing Address - Street 1:30100 TOWN CENTER DR STE YZ
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2064
Mailing Address - Country:US
Mailing Address - Phone:949-276-5401
Mailing Address - Fax:949-276-5403
Practice Address - Street 1:30100 TOWN CENTER DR STE YZ
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-2064
Practice Address - Country:US
Practice Address - Phone:949-276-5401
Practice Address - Fax:949-276-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28769261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy