Provider Demographics
NPI:1932984275
Name:MCCAIN PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:MCCAIN PHYSICAL THERAPY INC.
Other - Org Name:CAMBRIA PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:CELESTE
Authorized Official - Last Name:MCCAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:805-286-0359
Mailing Address - Street 1:900 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA
Mailing Address - State:CA
Mailing Address - Zip Code:93428-2820
Mailing Address - Country:US
Mailing Address - Phone:805-924-1605
Mailing Address - Fax:805-924-1603
Practice Address - Street 1:900 MAIN ST
Practice Address - Street 2:
Practice Address - City:CAMBRIA
Practice Address - State:CA
Practice Address - Zip Code:93428-2820
Practice Address - Country:US
Practice Address - Phone:805-924-1605
Practice Address - Fax:805-924-1603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty