Andrew Park, DPT | |
9900 Indiana Ave Ste 8, Riverside, CA 92503-5498 | |
(951) 376-1120 | |
Not Available |
Full Name | Andrew Park |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 9900 Indiana Ave Ste 8, Riverside, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437691870 | NPI | - | NPPES |
60691657 | Other | WA | PT LICENSE |
PT304206 | Other | CA | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT60691657 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairbanks And Power Physical Therapy Corp | 6406843481 | 24 |
Provider Name | Fairbanks & Power Physical Therapy Corp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912953936 PECOS PAC ID: 6406843481 Enrollment ID: O20060623000176 |
Mailing Address | Practice Location Address |
---|---|
Andrew Park, DPT 6177 Kirk St, Riverside, CA 92506-4636 Ph: (253) 431-8046 | Andrew Park, DPT 9900 Indiana Ave Ste 8, Riverside, CA 92503-5498 Ph: (951) 376-1120 |
Mrs. Deanna Michelle Vizon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507 Phone: 951-653-4480 Fax: 951-653-5051 | |
Anocha Suphol, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Magnolia Ave, Riverside, CA 92501 Phone: 951-274-3524 Fax: 951-274-3442 | |
Lindsay Aho, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744 Fax: 951-274-7754 | |
Theodore Ronald Oliver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402 Fax: 951-848-9676 | |
Joy Shiba, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402 | |
Jason Eric Herrera, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744 | |
Kevin Wu, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3421 Arlington Ave Ste 105, Riverside, CA 92506 Phone: 951-684-2865 |