Provider Demographics
NPI:1811713274
Name:NEX LVL PHYSICAL THERAPY AND PERFORMANCE
Entity type:Organization
Organization Name:NEX LVL PHYSICAL THERAPY AND PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:ISAYA
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:562-618-2227
Mailing Address - Street 1:1274 S MACDUFF ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-8057
Mailing Address - Country:US
Mailing Address - Phone:562-618-2227
Mailing Address - Fax:
Practice Address - Street 1:1274 S MACDUFF ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-8057
Practice Address - Country:US
Practice Address - Phone:562-618-2227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty