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

Prime Active Physical Therapy, Inc

Organization Physical Therapist · NPI 1699390187

Prime Active Physical Therapy, Inc is a Physical Therapist in Fullerton, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1817 W Orangethorpe Ave
Fullerton, CA 92833-4405
Phone: (714) 449-0911
Fax: (714) 449-2005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1699390187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maricar Fanuga — Ceo · (562) 382-3751
NPI enumeratedJune 10, 2020
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020
Mailing address8916 Reydon St, Downey, CA 90242-5236

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