| |
1675 Creekside Drive, Ste 101, Folsom, CA 95630-3891 | |
(916) 939-6800 | |
(916) 939-6874 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1675 Creekside Drive, Folsom, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841396033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | PT14742 (California) | Primary |
Provider Name | Robert B Kopitzke |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699823146 PECOS PAC ID: 3375596570 Enrollment ID: I20080612000904 |
Provider Name | Felicia A Krieger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114028198 PECOS PAC ID: 8123196748 Enrollment ID: I20081009000617 |
Provider Name | Telan G Nelson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528304789 PECOS PAC ID: 9133374440 Enrollment ID: I20130312000184 |
Provider Name | Alexis B Anderson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356852578 PECOS PAC ID: 7214289859 Enrollment ID: I20181010001567 |
Provider Name | Heide A Comm |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114202066 PECOS PAC ID: 9032455548 Enrollment ID: I20190103002687 |
Provider Name | Julie A Jackson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821558032 PECOS PAC ID: 6103168398 Enrollment ID: I20190509000994 |
Provider Name | Kathleen Sun Worrall |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174179550 PECOS PAC ID: 2961731989 Enrollment ID: I20200908003148 |
Provider Name | Ashlen T Roberts |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851998389 PECOS PAC ID: 5991125445 Enrollment ID: I20201021002951 |
Provider Name | Jordan Eldridge |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295337285 PECOS PAC ID: 1850704453 Enrollment ID: I20201228001211 |
Provider Name | Jesse Thomas Boyle |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760054886 PECOS PAC ID: 1951707256 Enrollment ID: I20210913001582 |
Provider Name | Ian Michael Miller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851074454 PECOS PAC ID: 1355795022 Enrollment ID: I20230928002741 |
Provider Name | Yung-chieh Hwang |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336713841 PECOS PAC ID: 2769884543 Enrollment ID: I20240618003244 |
Mailing Address | Practice Location Address |
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1675 Creekside Drive, Ste 101, Folsom, CA 95630-3891 Ph: (916) 939-6800 | 1675 Creekside Drive, Ste 101, Folsom, CA 95630-3891 Ph: (916) 939-6800 |