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8550 Balboa Blvd Ste 242, Northridge, CA 91325-3593 | |
| (818) 894-2273 | |
| (818) 357-2505 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 8550 Balboa Blvd Ste 242, Northridge, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104120385 | NPI | - | NPPES |
| Provider Name | Mark A Costello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710193602 PECOS PAC ID: 7618076522 Enrollment ID: I20070618000480 |
| Provider Name | Rebecca Pagdan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912103383 PECOS PAC ID: 8820180045 Enrollment ID: I20070817000297 |
| Provider Name | Sonia Chopra Dhir |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376735480 PECOS PAC ID: 3375627094 Enrollment ID: I20080219000771 |
| Provider Name | Mary J Alarcon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083868541 PECOS PAC ID: 5193994465 Enrollment ID: I20110803000699 |
| Provider Name | Shannan Rita V Lucero |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215273859 PECOS PAC ID: 1153561667 Enrollment ID: I20130705000260 |
| Provider Name | Sylvia C Liang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093185811 PECOS PAC ID: 6608176912 Enrollment ID: I20151118000852 |
| Provider Name | Karlu Tan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245619360 PECOS PAC ID: 1850690694 Enrollment ID: I20160429001165 |
| Provider Name | Dianna E Noonan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558619460 PECOS PAC ID: 8820248180 Enrollment ID: I20190124002690 |
| Provider Name | Tony Luu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750920187 PECOS PAC ID: 7517392244 Enrollment ID: I20200127001162 |
| Provider Name | Karin Koukeyan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497210835 PECOS PAC ID: 6204256837 Enrollment ID: I20210401002175 |
| Provider Name | Urvashi Barbhaya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972083574 PECOS PAC ID: 8820484405 Enrollment ID: I20220407000840 |
| Provider Name | Astrid Jovana Calderon Morales |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619501186 PECOS PAC ID: 2961886668 Enrollment ID: I20220921002640 |
| Provider Name | Evelyn Lizette Quintero |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649795865 PECOS PAC ID: 7416330147 Enrollment ID: I20220930000591 |
| Provider Name | Roxana Gonzalez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154710911 PECOS PAC ID: 4082024112 Enrollment ID: I20221010001439 |
| Provider Name | Camille Stewart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346564622 PECOS PAC ID: 3577947233 Enrollment ID: I20221012002096 |
| Provider Name | Wilianie Trujillo Delgado |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306472097 PECOS PAC ID: 3577947761 Enrollment ID: I20221012002971 |
| Provider Name | Melissa Ann Clark |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760546428 PECOS PAC ID: 0446626642 Enrollment ID: I20221012003435 |
| Provider Name | Brooke Mahoney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194218545 PECOS PAC ID: 7517200256 Enrollment ID: I20221101002515 |
| Provider Name | Rebecca Napoleon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285806638 PECOS PAC ID: 7517116734 Enrollment ID: I20221202002157 |
| Provider Name | Arlene Luevano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134428584 PECOS PAC ID: 6800279142 Enrollment ID: I20230106001852 |
| Provider Name | Alexandrea Rodriguez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639554595 PECOS PAC ID: 4880968627 Enrollment ID: I20230316001535 |
| Provider Name | Aja Carrillo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891923231 PECOS PAC ID: 3375774474 Enrollment ID: I20230414001120 |
| Provider Name | Lynn Marie French |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285773085 PECOS PAC ID: 9638544950 Enrollment ID: I20230418002012 |
| Provider Name | Laura Perez Wirth |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568835239 PECOS PAC ID: 4082079306 Enrollment ID: I20230420000822 |
| Provider Name | Philip Nathan Jacobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053883033 PECOS PAC ID: 9436514643 Enrollment ID: I20230421002256 |
| Provider Name | Amy Stricklin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447304696 PECOS PAC ID: 7315312998 Enrollment ID: I20230505001004 |
| Provider Name | Cassandra Lynn Durnan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073873501 PECOS PAC ID: 6507234770 Enrollment ID: I20230511001712 |
| Provider Name | Adalice Gonzalez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649468794 PECOS PAC ID: 1658779400 Enrollment ID: I20230511002540 |
| Provider Name | Kayla O'doran |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275021438 PECOS PAC ID: 2769866771 Enrollment ID: I20230515000757 |
| Provider Name | Wanda Davis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376743179 PECOS PAC ID: 6901079110 Enrollment ID: I20230517001756 |
| Provider Name | Jessica Diab |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023610854 PECOS PAC ID: 9638535461 Enrollment ID: I20230519001672 |
| Provider Name | Jessica Hall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942868732 PECOS PAC ID: 4688905938 Enrollment ID: I20230526001017 |
| Provider Name | Gaspar Sebastian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346888476 PECOS PAC ID: 9335507961 Enrollment ID: I20230614001188 |
| Provider Name | Gloria Soraya Schutte-powell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962029496 PECOS PAC ID: 5193185759 Enrollment ID: I20230714002336 |
| Provider Name | Joseph Swingle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891929261 PECOS PAC ID: 9133275233 Enrollment ID: I20230718002947 |
| Provider Name | Jennifer White |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649842949 PECOS PAC ID: 6305206236 Enrollment ID: I20230724002290 |
| Provider Name | Romie Garcia Galliani |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700216827 PECOS PAC ID: 8426431073 Enrollment ID: I20230726001922 |
| Provider Name | Fatimah O Anjorin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578091567 PECOS PAC ID: 5799146023 Enrollment ID: I20230810000795 |
| Provider Name | Chelsea Mitchell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578992236 PECOS PAC ID: 2668840190 Enrollment ID: I20230831003842 |
| Provider Name | Francesca Hillary Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598210080 PECOS PAC ID: 8527438985 Enrollment ID: I20230831004690 |
| Provider Name | Brooke Madison |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952768251 PECOS PAC ID: 5395116636 Enrollment ID: I20230905001607 |
| Provider Name | Richard Yee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871949628 PECOS PAC ID: 5496047870 Enrollment ID: I20230906001910 |
| Provider Name | Sharon Zheng |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740822600 PECOS PAC ID: 3476911629 Enrollment ID: I20230908002119 |
| Provider Name | Frances Roden |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477025971 PECOS PAC ID: 0446604748 Enrollment ID: I20230920001584 |
| Provider Name | Paula Madera-rivera |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205443769 PECOS PAC ID: 6406202456 Enrollment ID: I20231026002658 |
| Provider Name | Jennifer Gonzalez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962853168 PECOS PAC ID: 2365898459 Enrollment ID: I20231102001244 |
| Provider Name | Nadina Marrero |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386179018 PECOS PAC ID: 5799133708 Enrollment ID: I20231201001579 |
| Provider Name | Aleyda Herlihy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700430154 PECOS PAC ID: 1759796923 Enrollment ID: I20231208002241 |
| Provider Name | Vanessa Ileana Pena |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477964625 PECOS PAC ID: 7315398823 Enrollment ID: I20240116003728 |
| Provider Name | Vanessa Elizabeth Rivera |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912678053 PECOS PAC ID: 9537502083 Enrollment ID: I20240212002604 |
| Provider Name | Aubrey Lucas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699255836 PECOS PAC ID: 4880036532 Enrollment ID: I20240524003525 |
| Provider Name | Shelli Dry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235261538 PECOS PAC ID: 7517409469 Enrollment ID: I20240624004544 |
| Provider Name | Taylor Risch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396395216 PECOS PAC ID: 5496194961 Enrollment ID: I20240805003513 |
| Provider Name | Danya Sanchez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073744561 PECOS PAC ID: 0042755688 Enrollment ID: I20240814004886 |
| Provider Name | Jennifer Davis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255477147 PECOS PAC ID: 8820460447 Enrollment ID: I20240819003158 |
| Provider Name | Ke-hsin Sneed |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992336028 PECOS PAC ID: 1052852894 Enrollment ID: I20240920001126 |
| Provider Name | Karen J Kelly |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124329313 PECOS PAC ID: 4688105885 Enrollment ID: I20240929000082 |
| Provider Name | Genesis M Tosic |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043054950 PECOS PAC ID: 5799216230 Enrollment ID: I20241008001723 |
| Provider Name | Genesis M Tosic |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043054950 PECOS PAC ID: 5799216230 Enrollment ID: I20241008002146 |
| Provider Name | Kassandra Brooke Santurio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841931268 PECOS PAC ID: 5496286940 Enrollment ID: I20241015002055 |
| Provider Name | Adalys Suarez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972131373 PECOS PAC ID: 7214359801 Enrollment ID: I20241101003116 |
| Provider Name | Jessie Falcone Aquilina |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720348378 PECOS PAC ID: 5395278907 Enrollment ID: I20241105002840 |
| Provider Name | Kristin Bender |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942679543 PECOS PAC ID: 2466988647 Enrollment ID: I20241211002083 |
| Provider Name | Lindsey Taylor Reynolds |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902467442 PECOS PAC ID: 7517493638 Enrollment ID: I20241212000006 |
| Provider Name | Kenny Luc |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134612674 PECOS PAC ID: 7012443062 Enrollment ID: I20241213000870 |
| Mailing Address | Practice Location Address |
|---|---|
6320 Canoga Ave Fl 15, Woodland Hills, CA 91367-2563 Ph: (989) 906-2740 | 8550 Balboa Blvd Ste 242, Northridge, CA 91325-3593 Ph: (818) 894-2273 |
Bernadette Luz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18901 Braemore Rd, Northridge, CA 91326 Phone: 818-800-0124 Fax: 818-337-7165 | |
Ryan Ritthamel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11225 Tampa Ave, Northridge, CA 91326 Phone: 818-363-9970 Fax: 818-363-9980 | |
Rommel Herrera Pasco, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17650 Devonshire St, Northridge, CA 91325 Phone: 818-886-1616 Fax: 818-831-8680 | |
Philip Nathan Jacobson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9545 Reseda Blvd Ste 4, Northridge, CA 91324 Phone: 818-886-2005 | |
Ringo Santiago, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8558 Tunney Ave, Northridge, CA 91324 Phone: 213-271-5184 |