Provider Demographics
NPI:1578645073
Name:NEWCASTLE PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:NEWCASTLE PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUCK
Authorized Official - Middle Name:
Authorized Official - Last Name:SPINA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:916-663-2300
Mailing Address - Street 1:PO BOX 59
Mailing Address - Street 2:215 TAYLOR ROAD
Mailing Address - City:NEWCASTLE
Mailing Address - State:CA
Mailing Address - Zip Code:95658-0059
Mailing Address - Country:US
Mailing Address - Phone:916-663-2300
Mailing Address - Fax:916-663-2330
Practice Address - Street 1:215 TAYLOR ROAD
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:CA
Practice Address - Zip Code:95658-0059
Practice Address - Country:US
Practice Address - Phone:916-663-2300
Practice Address - Fax:916-663-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA15431261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ22536ZMedicare ID - Type UnspecifiedMEDICARE NUMBER