Movement For Life Physical Therapy - Medicare in Stockton, CA

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Movement For Life Physical Therapy is a medicare enrolled "Clinic/center - Physical Therapy" provider in Stockton, California. Their current practice location is 1716 W Hammer Ln, Stockton, California. You can reach out to their office (for appointments etc.) via phone at (209) 473-2383.

Movement For Life Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Movement For Life Physical Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1811150311.

Contact Information

Movement For Life Physical Therapy
1716 W Hammer Ln,
Stockton, CA 95209-2922
(209) 473-2383
(209) 473-1350

Map and Direction




Healthcare Provider's Profile

Full NameMovement For Life Physical Therapy
TypeFacility
SpecialityClinic/center - Physical Therapy
Location1716 W Hammer Ln, Stockton, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811150311
  • Provider Enumeration Date: 07/03/2008
  • Last Update Date: 04/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698834174
  • Enrollment ID: O20081113000047

Medical Identifiers

Medical identifiers for Movement For Life Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811150311NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Movement For Life Physical Therapy acts as a billing entity for following providers:
Provider NameKelly Sanders
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316978182
PECOS PAC ID: 4789664988
Enrollment ID: I20040720000956
Provider NameCarmela E Reynoso
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598733164
PECOS PAC ID: 5193733384
Enrollment ID: I20060329000755
Provider NameLuke D Gentry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174709737
PECOS PAC ID: 3274618012
Enrollment ID: I20080304000672
Provider NameVincent J Kambe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356526099
PECOS PAC ID: 1355426404
Enrollment ID: I20080313000122
Provider NameFrederic Hanker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396776779
PECOS PAC ID: 1850434549
Enrollment ID: I20100203000378
Provider NameJason A Roda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093746281
PECOS PAC ID: 7517944606
Enrollment ID: I20100204000062
Provider NameJulie Butler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538197819
PECOS PAC ID: 8921141425
Enrollment ID: I20100205000454
Provider NameEmily L Watts
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710269246
PECOS PAC ID: 4486828670
Enrollment ID: I20111128000679
Provider NameEliza R Downs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093050387
PECOS PAC ID: 6002069945
Enrollment ID: I20121231000213
Provider NameDarcy Hlavin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649604257
PECOS PAC ID: 3173750502
Enrollment ID: I20131210002200
Provider NameKalahan Slette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144653569
PECOS PAC ID: 5799914883
Enrollment ID: I20140213000741
Provider NameMatthew Wilson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790145217
PECOS PAC ID: 8820396708
Enrollment ID: I20160408000997
Provider NameIan Halderman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134661192
PECOS PAC ID: 6204116106
Enrollment ID: I20161212001564
Provider NameKyle Nelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417473539
PECOS PAC ID: 0547536070
Enrollment ID: I20171026003524
Provider NameJillian Leigh Kitterick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134630189
PECOS PAC ID: 0840557179
Enrollment ID: I20171122000003
Provider NameEvelyn N Delgado
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932703360
PECOS PAC ID: 9537572128
Enrollment ID: I20201228000552
Provider NameAaron Moreno
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821690140
PECOS PAC ID: 3870906944
Enrollment ID: I20210108002365
Provider NameSofia Rabaey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184299927
PECOS PAC ID: 2365842564
Enrollment ID: I20210609002175
Provider NameDavid Gillette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023321676
PECOS PAC ID: 8729478292
Enrollment ID: I20211124001944
Provider NameSumin Seo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871232561
PECOS PAC ID: 6406237395
Enrollment ID: I20220725000626
Provider NameMing Li
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760104871
PECOS PAC ID: 9133505076
Enrollment ID: I20220930000313
Provider NameJailord De La Cruz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881341568
PECOS PAC ID: 1355727140
Enrollment ID: I20220930003041
Provider NameMelissa Judnich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538875810
PECOS PAC ID: 3971976929
Enrollment ID: I20230222002554
Provider NameKathleen Ruhstaller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922704295
PECOS PAC ID: 6406221936
Enrollment ID: I20230413002581
Provider NameDesiree M Collins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811545114
PECOS PAC ID: 8224462114
Enrollment ID: I20230912001574
Provider NameDevlin Dizacomo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023593902
PECOS PAC ID: 5597183947
Enrollment ID: I20231009001445
Provider NameCrystal U Ignacio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952343667
PECOS PAC ID: 0143307546
Enrollment ID: I20231109002700
Provider NameCorinne Widell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467063602
PECOS PAC ID: 0345669172
Enrollment ID: I20231127000989
Provider NameAndrew Paul Bowser
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316617442
PECOS PAC ID: 9133598857
Enrollment ID: I20231204003270
Provider NameEmily Acton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023785490
PECOS PAC ID: 0749688893
Enrollment ID: I20231213003606
Provider NameSimrandeep Sandhu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639943186
PECOS PAC ID: 5294186185
Enrollment ID: I20240104002462
Provider NameKatherine Whitney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750909586
PECOS PAC ID: 7618391533
Enrollment ID: I20240105004195
Provider NameKevin Ewers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629720917
PECOS PAC ID: 1658766373
Enrollment ID: I20240111003049
Provider NameJacob Mason
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588361455
PECOS PAC ID: 3375902588
Enrollment ID: I20240123003564
Provider NameBrandon Mcminn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205694437
PECOS PAC ID: 0941647812
Enrollment ID: I20240327002186
Provider NameJasmine Gongora
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093590093
PECOS PAC ID: 8022464148
Enrollment ID: I20240406000556

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Movement For Life Physical Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Movement For Life Physical Therapy
408 Higuera St Ste 200,
San Luis Obispo, CA 93401-6135

Ph: (805) 788-0805		Movement For Life Physical Therapy
1716 W Hammer Ln,
Stockton, CA 95209-2922

Ph: (209) 473-2383

Reviews and Comments



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