| Community Physical Therapy Ctr Inc | |
|
725 S Long Beach Blvd, Compton, CA 90221-4028 | |
| (310) 631-8703 | |
| (310) 763-0400 |
| Full Name | Community Physical Therapy Ctr Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 725 S Long Beach Blvd, Compton, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316932825 | NPI | - | NPPES |
| CW140A | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT5788 (California) | Primary |
| Provider Name | Joseph Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235306143 PECOS PAC ID: 7517092372 Enrollment ID: I20100318000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Community Physical Therapy Ctr Inc 725 S Long Beach Blvd, Compton, CA 90221-4028 Ph: (310) 631-8703 | Community Physical Therapy Ctr Inc 725 S Long Beach Blvd, Compton, CA 90221-4028 Ph: (310) 631-8703 |
Caitlin Duke, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2499 S Wilmington Ave, Compton, CA 90220 Phone: 310-638-1113 | |
Dr. Dylan Lange, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2499 S Wilmington Ave, Compton, CA 90220 Phone: 630-723-9949 | |
Ashley Nicole Daves, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2499 S Wilmington Ave, Compton, CA 90220 Phone: 310-638-1113 | |
Mr. Antonio R. Francisco Jr., P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2499 S Wilmington Ave, Compton, CA 90220 Phone: 310-638-1113 | |
Mr. Masato Fukushima, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2499 S Wilmington Ave, Compton, CA 90220 Phone: 310-638-1113 |