| Covina Hills Sports Medicine Inc | |
|
1335 W Cypress Ave, Suite 100, San Dimas, CA 91773-3516 | |
| (909) 305-1383 | |
| (909) 305-1435 |
| Full Name | Covina Hills Sports Medicine Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1335 W Cypress Ave, San Dimas, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154369213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT14488 (California) | Primary |
| Provider Name | Christopher Patterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619059714 PECOS PAC ID: 5991704355 Enrollment ID: I20090306000290 |
| Provider Name | Mark Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750382925 PECOS PAC ID: 8224091293 Enrollment ID: I20120210000413 |
| Provider Name | Erin Bond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396161444 PECOS PAC ID: 1951524966 Enrollment ID: I20140520002235 |
| Provider Name | Cassandra Joann Wigboldy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962918458 PECOS PAC ID: 2365701265 Enrollment ID: I20180123001816 |
| Provider Name | Julia V Hayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558874719 PECOS PAC ID: 0547524985 Enrollment ID: I20180510001135 |
| Provider Name | Tracy Leroy Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497388417 PECOS PAC ID: 9436586526 Enrollment ID: I20200302002657 |
| Provider Name | Stephen J Chow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386362010 PECOS PAC ID: 2567847858 Enrollment ID: I20220922003222 |
| Mailing Address | Practice Location Address |
|---|---|
| Covina Hills Sports Medicine Inc Po Box 99, San Dimas, CA 91773-0099 Ph: (909) 305-1383 | Covina Hills Sports Medicine Inc 1335 W Cypress Ave, Suite 100, San Dimas, CA 91773-3516 Ph: (909) 305-1383 |
Rose Chang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Arrow Hwy # 130, San Dimas, CA 91773 Phone: 909-222-2745 | |
Jessica Diab, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 309 Pony Express Rd, San Dimas, CA 91773 Phone: 909-519-1672 | |
Ashley Nicole Gomez, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1301 W Arrow Hwy Ste 130, San Dimas, CA 91773 Phone: 909-222-2745 | |
Building Blocks Therapy 4 Kids, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 N San Dimas Ave # 219, San Dimas, CA 91773 Phone: 909-519-8912 Fax: 909-593-8988 | |
Rebekah Vaca, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 630 W Arrow Hwy, San Dimas, CA 91773 Phone: 909-592-2778 Fax: 909-592-2789 | |
Thomas Gosal, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 630 W Arrow Hwy, San Dimas, CA 91773 Phone: 909-592-2778 Fax: 909-592-2789 | |
Dr. Ashley Laine Olsen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1335 Cypress St, Suite 100, San Dimas, CA 91773 Phone: 909-305-1383 Fax: 909-305-1435 |