| Ayako Ota, | |
|
901 El Camino Real, San Bruno, CA 94066-3009 | |
| (650) 742-2100 | |
| Not Available |
| Full Name | Ayako Ota |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 901 El Camino Real, San Bruno, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821712795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 302869 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Provider Name | Agile Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659445443 PECOS PAC ID: 2163311556 Enrollment ID: O20040312001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Ayako Ota, 3028 Mason Ln, San Mateo, CA 94403-3243 Ph: (626) 423-8396 | Ayako Ota, 901 El Camino Real, San Bruno, CA 94066-3009 Ph: (650) 742-2100 |
Dr. April Pasco Fajardo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Castleton Way, San Bruno, CA 94066 Phone: 650-274-5566 | |
San Mateo County California Children's Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1280 Commodore Dr, San Bruno, CA 94066 Phone: 650-312-8929 | |
Rachel Amato, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Fleetwood Dr, San Bruno, CA 94066 Phone: 650-296-4221 | |
Tom Brandt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Traeger Ave, San Bruno, CA 94066 Phone: 650-742-2388 | |
Mrs. Patricia Maria Casey, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 Traeger Ave, Suite 304, San Bruno, CA 94066 Phone: 650-742-7279 Fax: 650-742-7295 | |
Lesa C Perez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 Traeger Ave Ste 304, San Bruno, CA 94066 Phone: 650-742-2000 Fax: 877-738-4262 | |
Mr. Paul C Yu, P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 Traeger Ave, San Bruno, CA 94066 Phone: 650-742-7110 |