Provider Demographics
NPI:1780147330
Name:ORANGE COUNTY PHYSICAL THERAPY OCPT, INC
Entity type:Organization
Organization Name:ORANGE COUNTY PHYSICAL THERAPY OCPT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:SIMON
Authorized Official - Last Name:RUSENESCU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-379-8400
Mailing Address - Street 1:2135 WESTCLIFF DR STE 203
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5512
Mailing Address - Country:US
Mailing Address - Phone:949-379-8400
Mailing Address - Fax:
Practice Address - Street 1:2135 WESTCLIFF DR STE 203
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5512
Practice Address - Country:US
Practice Address - Phone:949-379-8400
Practice Address - Fax:949-264-2811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty