Canyon Lake Physical Therapy is a
Physical Therapist based in Canyon Lake, California. Canyon Lake Physical Therapy is licensed to practice in California (license number PT 9115) and their current practice location is
31700 Railroad Canyon Rd, Suite 1, Canyon Lake, California. It can be reached at their office (for appointments etc.) via phone at
(951) 246-2670.
NPI number for Canyon Lake Physical Therapy is 1053490557 and their current mailing address is 31700 Railroad Canyon Rd, Suite 1, Canyon Lake, California. Canyon Lake Physical Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1053490557.
Healthcare Provider's Profile
Full Name | Canyon Lake Physical Therapy |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 31700 Railroad Canyon Rd, Canyon Lake, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053490557
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Canyon Lake Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053490557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT 9115 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Canyon Lake Physical Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Canyon Lake Physical Therapy 31700 Railroad Canyon Rd, Suite 1, Canyon Lake, CA 92587-9453 Ph: (951) 246-2670 | Canyon Lake Physical Therapy 31700 Railroad Canyon Rd, Suite 1, Canyon Lake, CA 92587-9453 Ph: (951) 246-2670 |
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