OrganizationActive
Ageless Physical Therapy PC
NPI 1245926187 · Physical Medicine & Rehabilitation Physician · Newport Beach, CA
Provider details
- NPI number
- 1245926187
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Nader Theodory, Owner
Practice location
1600 W Coast Hwy Ste G
Newport Beach, CA 92663-5000
Phone: (949) 272-3325
Fax: (949) 333-2962
Mailing address
1600 W Coast Hwy Ste G
Newport Beach, CA 92663-5000
Registry dates
- Enumerated
- 2023-04-13
- Last updated
- 2024-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.