AGAPE PHYSICAL THERAPY INC.
NPI 1508933052
Clinic/Center - Physical Therapy in Glendora, CA

Active since November 29, 2006
765 W ROUTE 66 STE C, GLENDORA, CA 91740(626) 857-4711(626) 857-4712 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, Jun 10, 2025, Aug 11, 2022 and 2 more (5 updates tracked since 2020).

About Agape Physical Therapy Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAPE PHYSICAL THERAPY INC. (NPI 1508933052) is a healthcare organization registered as a physical therapy in Glendora, California and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Rancho Cucamonga and lists Mary Atalla Shahid, Owner, Vice President, as its authorized official.

NPPES Registry Identity

NPI1508933052
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameAGAPE PHYSICAL THERAPY INC.
Location Address765 W ROUTE 66 STE CGlendora, CA 91740-4160
Mailing Address765 W Route 66 Ste CGlendora, CA 91740-4160 · (626) 857-4711 · Fax (626) 857-4712
Fax(626) 857-4712
Organization SubpartNo
Authorized OfficialMary Atalla ShahidOwner, Vice President · (626) 429-3521
Enumeration DateNovember 29, 2006
Last NPPES UpdateApril 27, 20265 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1508933052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT20032 (CA), PT19905 (CA)
Also ListedOccupational Therapist · HandTaxonomy 225XH1200X · License OT260 (CA)
765 W ROUTE 66 STE C, Glendora, CA 91740

Secondary Practice Location 1

Location 19689 Base Line RdRancho Cucamonga, CA 91730-1314 · Phone (909) 646-3663 · Fax (855) 727-3504

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agape Physical Therapy Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050727001150Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Agape Physical Therapy Inc., which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Physical Therapist in Private Practice
NPI 1578393245
765 W ROUTE 66 STE C
Glendora, CA 91740
(626) 857-4711
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1215699046
338 N WASHINGTON AVE
Glendora, CA 91741
(626) 257-6240
✔ Accepts Medicare1.0 mi
Physical Therapist in Private Practice
NPI 1255408720
1347 S GRAND AVE
Glendora, CA 91740
(626) 857-4711
✔ Accepts Medicare1.0 mi
Physical Therapist in Private Practice
NPI 1306900873
1347 S GRAND AVE
Glendora, CA 91740
(626) 857-4711
✔ Accepts Medicare1.0 mi
Physical Therapist in Private Practice
NPI 1386427128
9689 BASE LINE RD
Rancho Cucamonga, CA 91730
(909) 646-3663
✔ Accepts Medicare16 mi
Physical Therapist in Private Practice
NPI 1922839539
9689 BASE LINE RD
Rancho Cucamonga, CA 91730
(909) 646-3663
16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agape Physical Therapy Inc.'s NPI number?

The NPI number for Agape Physical Therapy Inc. is 1508933052. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Agape Physical Therapy Inc. located?

Agape Physical Therapy Inc. is located at 765 W Route 66 Ste C, Glendora, CA 91740. The listed phone number is (626) 857-4711.

What is Agape Physical Therapy Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Agape Physical Therapy Inc. enrolled in Medicare?

Yes. Agape Physical Therapy Inc. is registered in the Medicare PECOS enrollment system.

When is Agape Physical Therapy Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Agape Physical Therapy Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Agape Physical Therapy Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Agape Physical Therapy Inc. was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.