Dante Carrillo, DPT | |
540 Ralston Ave Ste B, Belmont, CA 94002-2866 | |
(650) 363-5668 | |
Not Available |
Full Name | Dante Carrillo |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 540 Ralston Ave Ste B, Belmont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154044279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | 304970 (California) | Primary |
Provider Name | Ideal Physical Therapy Of Texas Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
Mailing Address | Practice Location Address |
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Dante Carrillo, DPT 540 Ralston Ave Ste B, Belmont, CA 94002-2866 Ph: (650) 363-5668 | Dante Carrillo, DPT 540 Ralston Ave Ste B, Belmont, CA 94002-2866 Ph: (650) 363-5668 |
Daria Monica Ivan, MSPT, COMT Physical Therapist Medicare: Medicare Enrolled Practice Location: 540 Ralston Ave Ste B, Belmont, CA 94002 Phone: 303-971-0500 | |
Janelle Brokenshire-cyr, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 Winding Way, Belmont, CA 94002 Phone: 650-255-1797 Fax: 650-593-8876 | |
Dr. Nicole Caroline Jackman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Old County Rd Ste D, Belmont, CA 94002 Phone: 650-701-7686 | |
Christopher Michael Ryan, MPT ATC CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 Ralston Ave Ste B, Belmont, CA 94002 Phone: 650-363-5668 | |
Filex Wu, Physical Therapist Medicare: Medicare Enrolled Practice Location: 540 Ralston Ave Ste B, Belmont, CA 94002 Phone: 650-363-5668 | |
Ms. Valerie Anne Lee, PT DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 540 Ralston Ave Ste B, Belmont, CA 94002 Phone: 650-363-5668 Fax: 650-363-5669 |