| Organization Name: | NEXT LEVEL PHYSICAL THERAPY INC. |
| NPI Number: | 1003280801 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KYLE JACKSON (PRINCIPAL/OWNER) |
| Mailing Address: | 719 Southpoint Blvd Suite A Petaluma |
| State: | CA US |
| Postal Code: | 949541495 |
| Phone Number: | 7077818062 |
| Fax Number: | 7079818684 |
| NPI Enumeration Date: | 11/17/2015 |
| NPI Last Update Date: | 02/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 27666 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |