Provider Demographics
NPI:1144677212
Name:PAINFREE PHYSICAL THERAPY CORP A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:PAINFREE PHYSICAL THERAPY CORP A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WAN-KAI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-362-9353
Mailing Address - Street 1:5451 LA PALMA AVE STE 48
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1732
Mailing Address - Country:US
Mailing Address - Phone:562-362-9353
Mailing Address - Fax:562-278-0199
Practice Address - Street 1:5451 LA PALMA AVE STE 48
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1732
Practice Address - Country:US
Practice Address - Phone:562-362-9353
Practice Address - Fax:562-278-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT37756225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT37756OtherPHYSICAL THERAPY BOARD