Pine Street Physical & Occupational Therapy - Medicare in Stockton, CA

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Pine Street Physical & Occupational Therapy is a medicare enrolled "Clinic/center - Physical Therapy" provider in Stockton, California. Their current practice location is 534 E Pine St, Suite A, Stockton, California. You can reach out to their office (for appointments etc.) via phone at (209) 463-5800.

Pine Street Physical & Occupational Therapy is licensed to practice in California (license number 2403966) and it also participates in the medicare program. Pine Street Physical & Occupational Therapy 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 1417037946.

Contact Information

Pine Street Physical & Occupational Therapy
534 E Pine St, Suite A,
Stockton, CA 95204-5536
(209) 463-5800
(209) 463-5900

Map and Direction




Healthcare Provider's Profile

Full NamePine Street Physical & Occupational Therapy
TypeFacility
SpecialityClinic/center - Physical Therapy
Location534 E Pine St, Stockton, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417037946
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 07/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830164649
  • Enrollment ID: O20040826000460

Medical Identifiers

Medical identifiers for Pine Street Physical & Occupational Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417037946NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy 2403966 (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. Pine Street Physical & Occupational Therapy acts as a billing entity for following providers:
Provider NameMichael Ko
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053492512
PECOS PAC ID: 4385698299
Enrollment ID: I20050303000482
Provider NameChristopher E Mason
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275509986
PECOS PAC ID: 8729032933
Enrollment ID: I20050310000542
Provider NameSarah C Blessinger
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1326180670
PECOS PAC ID: 6901987932
Enrollment ID: I20080116000433
Provider NameJohn K Bob
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720163249
PECOS PAC ID: 0749255560
Enrollment ID: I20081107000721
Provider NameLavaughan Breakfield
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841392933
PECOS PAC ID: 8325081185
Enrollment ID: I20090917000202
Provider NameKevin D Lane
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124056536
PECOS PAC ID: 0345385464
Enrollment ID: I20100301000581
Provider NameMichelle M Rutherford
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033482591
PECOS PAC ID: 4981863982
Enrollment ID: I20120312000284
Provider NamePeter W Hohenthaner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073693461
PECOS PAC ID: 8527104892
Enrollment ID: I20120413000132
Provider NameRachel Sawyer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952728941
PECOS PAC ID: 8325262900
Enrollment ID: I20140623000808
Provider NameKailyn L Tutokey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235636655
PECOS PAC ID: 1557618105
Enrollment ID: I20180727001314
Provider NameScott D Montgomery
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215271325
PECOS PAC ID: 6204197528
Enrollment ID: I20181228001210
Provider NameKirstie M Strelo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598246787
PECOS PAC ID: 6901145010
Enrollment ID: I20190307003026
Provider NameKelsey Lynn Mooney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730781303
PECOS PAC ID: 4688085731
Enrollment ID: I20201123000835
Provider NameDeborah M Hallett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811593353
PECOS PAC ID: 0840603601
Enrollment ID: I20210316001319
Provider NameAnnette M Zajac
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1831734763
PECOS PAC ID: 1052745460
Enrollment ID: I20210913001898
Provider NameNewton Nghi The Tran
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215699541
PECOS PAC ID: 4587051750
Enrollment ID: I20220419000942
Provider NameStephanie Grace Stanley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811637051
PECOS PAC ID: 2264829936
Enrollment ID: I20220427001576
Provider NameJonathan M Gill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083142178
PECOS PAC ID: 0749554996
Enrollment ID: I20221129003316
Provider NameMary Beth Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669196143
PECOS PAC ID: 0446628176
Enrollment ID: I20221130000501
Provider NameShelby Schwede
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972030435
PECOS PAC ID: 7719251735
Enrollment ID: I20230310001608
Provider NameDavoud Abrahim Saghaian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578288700
PECOS PAC ID: 0143694182
Enrollment ID: I20230315000453
Provider NameMin Ji Song
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841077443
PECOS PAC ID: 7517317035
Enrollment ID: I20231226001693
Provider NameVivianna Marie Araiza
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730846783
PECOS PAC ID: 8123479805
Enrollment ID: I20240106000556
Provider NameSebastien Nicolas Laplante
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831166479
PECOS PAC ID: 4183531833
Enrollment ID: I20240123003080
Provider NameRocky J Pimentel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376314260
PECOS PAC ID: 2466896089
Enrollment ID: I20240221004356

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. Pine Street Physical & Occupational Therapy 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 AddressPractice Location Address
Pine Street Physical & Occupational Therapy
Po Box 200880,
Dallas, TX 75320-0880

Ph: (678) 837-7176		Pine Street Physical & Occupational Therapy
534 E Pine St, Suite A,
Stockton, CA 95204-5536

Ph: (209) 463-5800

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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