| Custom Physical Therapy | |
|
325 Rolling Oaks Drive, Suite 210, Thousand Oaks, CA 91361-1088 | |
| (805) 446-3141 | |
| (805) 446-3140 |
| Full Name | Custom Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 325 Rolling Oaks Drive, Thousand Oaks, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639107626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT20094 (California) | Primary |
| Provider Name | Angela L Spruill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780626895 PECOS PAC ID: 0244129286 Enrollment ID: I20040315001150 |
| Provider Name | Andrea C Gutierrez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003213539 PECOS PAC ID: 5597089748 Enrollment ID: I20150119000825 |
| Provider Name | Christina M Moskala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841612421 PECOS PAC ID: 8123344991 Enrollment ID: I20171122002643 |
| Provider Name | Monica R Lesslie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104144674 PECOS PAC ID: 8820240187 Enrollment ID: I20180409002060 |
| Provider Name | Bieta Kia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720411945 PECOS PAC ID: 1456574342 Enrollment ID: I20180712002096 |
| Provider Name | Sarina Karwande |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447721972 PECOS PAC ID: 4789926536 Enrollment ID: I20190429000528 |
| Provider Name | Alison Marie Palacios |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225685910 PECOS PAC ID: 5597095380 Enrollment ID: I20190920001352 |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Physical Therapy 325 Rolling Oaks Drive, Suite 210, Thousand Oaks, CA 91361-1088 Ph: (805) 446-3141 | Custom Physical Therapy 325 Rolling Oaks Drive, Suite 210, Thousand Oaks, CA 91361-1088 Ph: (805) 446-3141 |
Andrea C Gutierrez, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Rolling Oaks Drive, Suite 210, Thousand Oaks, CA 91361 Phone: 805-446-3141 | |
Challenge Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 911 Vivian Cir, Thousand Oaks, CA 91320 Phone: 805-777-7172 Fax: 805-499-7033 | |
Cara Rademaker, MPT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360 Phone: 805-777-1023 Fax: 805-777-3496 | |
Allison Meyer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 375 Rolling Oaks Dr Ste 210, Thousand Oaks, CA 91361 Phone: 805-497-7015 | |
Luc Fecteau, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Hodencamp Rd Ste 102, Thousand Oaks, CA 91360 Phone: 805-496-9944 Fax: 805-496-9945 | |
Dr. Edward Matthew Lind, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Rolling Oaks Dr Ste 250, Thousand Oaks, CA 91361 Phone: 805-230-1199 Fax: 805-230-1199 | |
Jennifer Kathleen Tunney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3680 N Moorpark Rd, Thousand Oaks, CA 91360 Phone: 805-496-9301 Fax: 805-492-4860 |