Socal Physical Therapy Inc. is a medicare enrolled "Clinic/center - Physical Therapy" provider in Valencia, California. Their current practice location is
27616 Newhall Ranch Rd, Suite 35, Valencia, California. You can reach out to their office (for appointments etc.) via phone at
(661) 254-0488.
Socal Physical Therapy Inc. is licensed to practice in California (license number PT28833) and it also participates in the medicare program. Socal Physical Therapy Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1689810087.
Healthcare Provider's Profile
Full Name | Socal Physical Therapy Inc. |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 27616 Newhall Ranch Rd, Valencia, California |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689810087
- Provider Enumeration Date: 01/06/2009
- Last Update Date: 12/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 3779631445
- Enrollment ID: O20090507000192
Medical Identifiers
Medical identifiers for Socal Physical Therapy Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689810087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC11597 (California) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | PT28833 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Socal Physical Therapy Inc. acts as a billing entity for following providers:
Provider Name | Dongwon Jahng |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1568504207 PECOS PAC ID: 5698878171 Enrollment ID: I20070321000662 |
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Provider Name | Andrew N Tusaazemajja |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1215572607 PECOS PAC ID: 8022442789 Enrollment ID: I20200106001176 |
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Provider Name | Mackenzie Marler Gedalia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1588361851 PECOS PAC ID: 1254703218 Enrollment ID: I20230221001622 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Socal Physical Therapy Inc. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Socal Physical Therapy Inc. 26114 Salinger Ln, Stevenson Ranch, CA 91381-1107 Ph: (661) 254-0488 | Socal Physical Therapy Inc. 27616 Newhall Ranch Rd, Suite 35, Valencia, CA 91355-3482 Ph: (661) 254-0488 |
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