Amanda Shin, DPT | |
17270 Bear Valley Rd Ste 105, Victorville, CA 92395-7751 | |
(760) 245-8828 | |
Not Available |
Full Name | Amanda Shin |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 17270 Bear Valley Rd Ste 105, Victorville, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043783350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 295555 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Surgical Specialists Pc | 4183527153 | 104 |
Provider Name | Northwest Surgical Specialists Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730118803 PECOS PAC ID: 4183527153 Enrollment ID: O20040210001105 |
Mailing Address | Practice Location Address |
---|---|
Amanda Shin, DPT 17270 Bear Valley Rd Ste 105, Victorville, CA 92395-7751 Ph: () - | Amanda Shin, DPT 17270 Bear Valley Rd Ste 105, Victorville, CA 92395-7751 Ph: (760) 245-8828 |
Joanne Ingram, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Ste E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Janette Joyce Mary Coppotelli, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Suite E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Nicholas Kasischke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15095 Amargosa Rd Ste 106, Victorville, CA 92394 Phone: 760-245-6495 | |
Karley Ruble, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12241 Industrial Blvd Ste 210, Victorville, CA 92395 Phone: 800-489-6905 | |
Lauretta Marie Rustad, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12402 Industrial Blvd, Suite B-2, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Optimum Care Provider, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12381 Bali St, Victorville, CA 92392 Phone: 909-509-6064 |