| Bita Shahidi, DPT | |
|
2607 Manhattan Beach Blvd, Redondo Beach, CA 90278-1604 | |
| (424) 400-5858 | |
| (310) 536-0061 |
| Full Name | Bita Shahidi |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2607 Manhattan Beach Blvd, Redondo Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629095286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 29051 (California) | Primary |
| Provider Name | Emory Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
| Provider Name | Georgia Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811 |
| Mailing Address | Practice Location Address |
|---|---|
| Bita Shahidi, DPT 211 Yacht Club Way, #108, Redondo Beach, CA 90277-2057 Ph: (424) 400-5858 | Bita Shahidi, DPT 2607 Manhattan Beach Blvd, Redondo Beach, CA 90278-1604 Ph: (424) 400-5858 |
Emily May Varee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2621 Manhattan Beach Blvd, Redondo Beach, CA 90278 Phone: 310-374-0477 Fax: 310-374-1605 | |
Oliver Severios, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1708 Esplanade Apt 10, Redondo Beach, CA 90277 Phone: 310-423-9293 | |
Kyle Thomas Cabahug, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 N Prospect Ave Ste 100, Redondo Beach, CA 90277 Phone: 310-376-9222 | |
Robert Frank Maffucci, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2621 Manhattan Beach Blvd, Redondo Beach, CA 90278 Phone: 310-374-0477 Fax: 310-374-1605 | |
Denise De Garceau, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 N Prospect Ave, Suite 100, Redondo Beach, CA 90277 Phone: 310-376-9222 | |
Kelly Lynn Mahoney, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2108 Huntington Ln # A, Redondo Beach, CA 90278 Phone: 310-372-3292 | |
Mrs. Julie Orsi Reynolds-gillespie, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 S Catalina Ave Ste E, Redondo Beach, CA 90277 Phone: 424-353-9791 |