Provider Demographics
NPI:1215971940
Name:STEVES'S PHYSICAL THERAPY CORPORATION
Entity type:Organization
Organization Name:STEVES'S PHYSICAL THERAPY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:CHABAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-935-6415
Mailing Address - Street 1:116 W WATER ST
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-2943
Mailing Address - Country:US
Mailing Address - Phone:559-935-6415
Mailing Address - Fax:
Practice Address - Street 1:775 GRANGEVILLE BLVD
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230
Practice Address - Country:US
Practice Address - Phone:559-582-7546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ02828ZMedicare ID - Type UnspecifiedMEDICARE