Provider Demographics
NPI:1023757374
Name:HOMELINK PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:HOMELINK PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REGIELOUR
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLGADO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CAPS
Authorized Official - Phone:714-362-5100
Mailing Address - Street 1:23665 GOLDEN SPRINGS DR UNIT 2E
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-2192
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23665 GOLDEN SPRINGS DR UNIT 2E
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-2192
Practice Address - Country:US
Practice Address - Phone:714-812-4795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty