Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Forever Young Rehabilitation LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1518601012

Forever Young Rehabilitation LLC is a Physical Medicine & Rehabilitation Physician in Newport Beach, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 W Coast Hwy Ste E
Newport Beach, CA 92663-5000
Phone: (949) 272-3325
Fax: (949) 333-2962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1518601012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samer Theodory — Owner · (949) 272-3325
NPI enumeratedApril 21, 2022
Last updated in NPPESSeptember 25, 2022
Certification dateSeptember 25, 2022
Mailing address1600 W Coast Hwy Ste E, Newport Beach, CA 92663-5000

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