Provider Demographics
NPI:1659661825
Name:ALPHA PHYSICAL THERAPY NETWORK
Entity Type:Organization
Organization Name:ALPHA PHYSICAL THERAPY NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COLLECTION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUGGLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-399-4488
Mailing Address - Street 1:PO BOX 6047
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92816-0047
Mailing Address - Country:US
Mailing Address - Phone:714-399-4434
Mailing Address - Fax:714-678-3266
Practice Address - Street 1:1120 N TUSTIN AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-1712
Practice Address - Country:US
Practice Address - Phone:714-399-4434
Practice Address - Fax:714-678-3266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy