Clayton Carson Dyke Iii, PT | |
2335 Vista Way, Oceanside, CA 92054-5663 | |
(760) 547-2666 | |
(760) 547-2673 |
Full Name | Clayton Carson Dyke Iii |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2335 Vista Way, Oceanside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619447620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT41751 (California) | Primary |
Provider Name | Independent Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
Provider Name | Agilitas Usa Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
Mailing Address | Practice Location Address |
---|---|
Clayton Carson Dyke Iii, PT 3988 Syme Dr, Carlsbad, CA 92008-3569 Ph: (760) 613-8241 | Clayton Carson Dyke Iii, PT 2335 Vista Way, Oceanside, CA 92054-5663 Ph: (760) 547-2666 |
Kirsch Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1949 Avenida Del Oro, Suite 118, Oceanside, CA 92056 Phone: 760-945-6500 Fax: 760-945-6535 | |
Kathleen S Ramseyer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2204 S El Camino Real, Suite 102, Oceanside, CA 92054 Phone: 760-477-1350 Fax: 760-754-6785 | |
Alex Castro, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5509 Old Ranch Rd, Unit 13, Oceanside, CA 92057 Phone: 000-000-0001 | |
Leanne Lundgren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2122 S El Camino Real, #100, Oceanside, CA 92054 Phone: 760-681-5222 Fax: 760-681-5151 | |
Linda Goode, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2819 Brandeis Dr, Oceanside, CA 92056 Phone: 760-967-7947 | |
Ilana Tunca, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3600 Ocean Ranch Blvd, Oceanside, CA 92056 Phone: 760-696-3376 Fax: 877-559-5308 | |
Emily Mays, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3633 Vista Way, Oceanside, CA 92056 Phone: 760-729-7298 |