Prime Rehab Center Physical Therapy A Professional Corporation
NPI 1669914396ActiveOrganization· Physical Therapist· Fontana, CA
Physical Therapist in Fontana, California, registered in NPPES in November 2016. The authorized official on file is Julia Cuevas Adame, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669914396 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2016 |
| Last updated in NPPES | Sep 10, 2020 |
| Certified by provider | Sep 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT35680 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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