| Biosport Physical Therapy San Joaquin Inc | |
|
2156 W Grant Line Rd Ste 215, Tracy, CA 95377-7337 | |
| (209) 524-7488 | |
| (209) 522-7488 |
| Full Name | Biosport Physical Therapy San Joaquin Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2156 W Grant Line Rd Ste 215, Tracy, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679291827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Leovardo Chavez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972668598 PECOS PAC ID: 5193774677 Enrollment ID: I20050124000240 |
| Provider Name | Alexander Edward Stavrianoudakis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245743970 PECOS PAC ID: 5294092805 Enrollment ID: I20171206000894 |
| Provider Name | Karandeep Gill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598367831 PECOS PAC ID: 3173938081 Enrollment ID: I20210225003021 |
| Mailing Address | Practice Location Address |
|---|---|
| Biosport Physical Therapy San Joaquin Inc Po Box 576751, Modesto, CA 95357-6751 Ph: (209) 524-7488 | Biosport Physical Therapy San Joaquin Inc 2156 W Grant Line Rd Ste 215, Tracy, CA 95377-7337 Ph: (209) 524-7488 |
Amrita Patel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1930 W Grant Line Rd, 1930 W Grant Line Road, Tracy, CA 95376 Phone: 209-833-9400 | |
Mrs. Kealoha Alyce Miller, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1423 N Tracy Blvd, Tracy, CA 95376 Phone: 209-830-8855 Fax: 209-830-8837 | |
Mrs. Zoraida Lim Galvez, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1693 Saint Emillion Ct, Tracy, CA 95304 Phone: 209-830-0058 | |
Prime Home Physical Therapy P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1762 Schantz Way, Tracy, CA 95376 Phone: 510-410-7623 | |
Jerilyn V Crisostomo-jaque, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 612 W 11th St Ste 109, Tracy, CA 95376 Phone: 209-834-2314 Fax: 209-834-2176 | |
Anna Lily Wong, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 855 S Tracy Blvd, Tracy, CA 95376 Phone: 209-803-9388 | |
Crystal Nerence Gomez Cunanan, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2586 Buthmann Ave, Tracy, CA 95376 Phone: 209-832-2273 |