Alyssa Andres, | |
2038 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6499 | |
(530) 208-9910 | |
Not Available |
Full Name | Alyssa Andres |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2038 Lake Tahoe Blvd, South Lake Tahoe, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760216360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 306376 (California) | Primary |
Provider Name | Pt Revolution Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467179663 PECOS PAC ID: 5092174987 Enrollment ID: O20230711000737 |
Mailing Address | Practice Location Address |
---|---|
Alyssa Andres, 2038 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6499 Ph: () - | Alyssa Andres, 2038 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6499 Ph: (530) 208-9910 |
Michelle Appelle, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 | |
Michael Neiger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 | |
Rene Hoogendijk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-542-3000 Fax: 530-544-6512 | |
Nancy Bru, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 | |
Joseph H Dengler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 | |
Michael John Lyons, MPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 | |
Christine Ann Kozlowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 |