| Active Physical Therapy, Inc | |
|
1105 E Foster Rd Ste B, Santa Maria, CA 93455-6400 | |
| (805) 934-0663 | |
| Not Available |
| Full Name | Active Physical Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1105 E Foster Rd Ste B, Santa Maria, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902978968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT 21537 (California) | Primary |
| Provider Name | Sean A Waistell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891897641 PECOS PAC ID: 5597761841 Enrollment ID: I20061010000793 |
| Provider Name | Jordan A Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740352392 PECOS PAC ID: 0042276453 Enrollment ID: I20120120000587 |
| Provider Name | Mary Gallagher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639162423 PECOS PAC ID: 8527297852 Enrollment ID: I20140210000048 |
| Provider Name | Victor A P Romero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396778288 PECOS PAC ID: 3072737915 Enrollment ID: I20140613002284 |
| Provider Name | Brandon M Downs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285090134 PECOS PAC ID: 9234436528 Enrollment ID: I20160331001940 |
| Provider Name | Audrey Monique Reyes Sese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104379429 PECOS PAC ID: 6406199652 Enrollment ID: I20190510000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Physical Therapy, Inc 247 Santa Fe Ave, Pismo Beach, CA 93449-1948 Ph: () - | Active Physical Therapy, Inc 1105 E Foster Rd Ste B, Santa Maria, CA 93455-6400 Ph: (805) 934-0663 |
Dr. Ernesto Josue Vega, PT,DPT,CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 526 San Diego St, Santa Maria, CA 93455 Phone: 805-867-3110 | |
Staci Lynn-sargent Mc Lean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015b S Broadway, Santa Maria, CA 93454 Phone: 805-440-9318 Fax: 805-938-5390 | |
Dallan Noel Rigby, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 N Miller St, Santa Maria, CA 93454 Phone: 805-739-2518 | |
Quentin Doug Sims Iii, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935 | |
Alexis Emmanuel Camacho Zarate, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N College Dr Ste 203, Santa Maria, CA 93454 Phone: 805-922-1724 | |
Mr. Gino John Brunello, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935 | |
Tanya Conley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4869 S Bradley Rd, 114, Santa Maria, CA 93455 Phone: 805-938-5320 Fax: 805-938-5390 |