Casey Stephen Wallace, DPT | |
200 Newport Center Dr Ste 213, Newport Beach, CA 92660-7503 | |
(949) 644-1322 | |
Not Available |
Full Name | Casey Stephen Wallace |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 200 Newport Center Dr Ste 213, Newport Beach, 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 |
---|---|---|---|
1326550518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
California Rehabilitation And Sports Therapy A California Physical The | 6709788896 | 124 |
Provider Name | California Rehabilitation & Sports Therapy A California Physical Ther |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386696409 PECOS PAC ID: 6709788896 Enrollment ID: O20040120001115 |
Mailing Address | Practice Location Address |
---|---|
Casey Stephen Wallace, DPT 30059 Big Range Rd, Canyon Lake, CA 92587-7660 Ph: (951) 809-6892 | Casey Stephen Wallace, DPT 200 Newport Center Dr Ste 213, Newport Beach, CA 92660-7503 Ph: (949) 644-1322 |
Dr. Nicole Aho, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-759-1840 | |
Superior Wound Care And Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1441 Superior Ave Ste D, Newport Beach, CA 92663 Phone: 949-646-0653 Fax: 949-646-9228 | |
Ayako Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1401 Avocado Ave # 808, Newport Beach, CA 92660 Phone: 949-706-1001 Fax: 949-706-1002 | |
William Roper, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3300 Irvine Ave Ste 130, Newport Beach, CA 92660 Phone: 949-271-0053 Fax: 949-271-9453 | |
Kristen Alyssa Nelson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 351 Hospital Rd, Suite 007, Newport Beach, CA 92663 Phone: 949-525-9995 | |
Gavin Kam, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20280 Sw Acacia St Ste 120, Newport Beach, CA 92660 Phone: 949-590-9350 Fax: 714-361-2606 | |
Julie Sias, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2518 Salerno, Newport Beach, CA 92660 Phone: 714-331-4145 |