| Organization Name: | EXCEL PERFORMANCE PHYSICAL THERAPY, P.C. |
| NPI Number: | 1396138715 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JILL MCCORMICK (OWNER) |
| Mailing Address: | 2650 Research Park Dr Soquel |
| State: | CA US |
| Postal Code: | 950732087 |
| Phone Number: | 8315662004 |
| Fax Number: | 8313250307 |
| NPI Enumeration Date: | 03/10/2015 |
| NPI Last Update Date: | 03/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 36994 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |