| Change Sports Physical Therapy Institute | |
|
1500 S Anaheim Blvd, Suite 140, Anaheim, CA 92805-6242 | |
| (714) 917-3558 | |
| (714) 917-3560 |
| Full Name | Change Sports Physical Therapy Institute |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1500 S Anaheim Blvd, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164752473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 33345 (California) | Primary |
| Provider Name | Matt S Swift |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134278757 PECOS PAC ID: 8325194160 Enrollment ID: I20090921000538 |
| Provider Name | Danielle Fleming |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306361811 PECOS PAC ID: 1658647607 Enrollment ID: I20171019001363 |
| Mailing Address | Practice Location Address |
|---|---|
| Change Sports Physical Therapy Institute 1500 S Anaheim Blvd, Suite 140, Anaheim, CA 92805-6242 Ph: (714) 917-3558 | Change Sports Physical Therapy Institute 1500 S Anaheim Blvd, Suite 140, Anaheim, CA 92805-6242 Ph: (714) 917-3558 |
Jeremy K Simmons, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 N Euclid St, Suite 680, Anaheim, CA 92801 Phone: 714-780-0010 Fax: 714-780-0050 | |
Jason Matthew Funke, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 S Anaheim Blvd, Anaheim, CA 92805 Phone: 714-937-1919 | |
Sheryl Gonzales Ante, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 761 S Melrose St, Anaheim, CA 92805 Phone: 714-658-6321 | |
Rhodora T Intal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N Magnolia Ave, Anaheim, CA 92801 Phone: 714-484-1280 | |
Jennifer Greene, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 N Euclid St, Ste 680, Anaheim, CA 92801 Phone: 714-780-0010 Fax: 714-780-0050 | |
Parivash F Oreizy, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 S Anaheim Hills Rd, Suite 106, Anaheim, CA 92807 Phone: 714-685-0700 Fax: 714-685-9916 | |
Eliza H Cho, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 N Lakeview Ave, Anaheim, CA 92807 Phone: 714-748-6166 |