Brandon Dederich, MPT, MS, ATC | |
144 W Los Angeles Ave Ste 110, Moorpark, CA 93021-4218 | |
(805) 552-1915 | |
(805) 552-1991 |
Full Name | Brandon Dederich |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 144 W Los Angeles Ave Ste 110, Moorpark, 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 |
---|---|---|---|
1912976853 | NPI | - | NPPES |
264440100 | Other | CA | DEPT OF LABOR |
OPT268640 | Other | CA | BLUE SHIELD INDIVIDUAL |
ZZZ082282 | Other | CA | BLUE SHIELD GROUP# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26864 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Xcelerate Physical Therapy Inc. | 4385621374 | 4 |
Provider Name | Xcelerate Physical Therapy Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1306814124 PECOS PAC ID: 4385621374 Enrollment ID: O20040707001113 |
Provider Name | Seal Beach Physical Therapy Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316262983 PECOS PAC ID: 3476782137 Enrollment ID: O20140129002069 |
Mailing Address | Practice Location Address |
---|---|
Brandon Dederich, MPT, MS, ATC 144 W Los Angeles Ave Ste 110, Moorpark, CA 93021-4218 Ph: (805) 552-1915 | Brandon Dederich, MPT, MS, ATC 144 W Los Angeles Ave Ste 110, Moorpark, CA 93021-4218 Ph: (805) 552-1915 |
Shannon Johnson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 W Los Angeles Ave, Moorpark, CA 93021 Phone: 805-530-3838 Fax: 805-530-3832 | |
Biomotion Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 865 Patriot Dr Ste 202, Moorpark, CA 93021 Phone: 805-530-3838 Fax: 805-530-3832 | |
Mr. Jeffrey Raymond Vargo Ix, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5165 Maureen Ln, Moorpark, CA 93021 Phone: 805-523-8076 Fax: 805-523-8796 | |
Mr. Chester Lin, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14711 Princeton Ave Ste 8, Moorpark, CA 93021 Phone: 562-396-5799 Fax: 805-290-1994 | |
Plexus Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 New Los Angeles Ave, Ste 103, Moorpark, CA 93021 Phone: 805-876-4176 | |
Dave Faciana, DPT, SCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4225 Tierra Rejada Rd, Moorpark, CA 93021 Phone: 805-530-3838 Fax: 805-530-3832 | |
Performance Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 537 New Los Angeles Ave, #d, Moorpark, CA 93021 Phone: 805-552-1915 |