Davis And Derosa Physical Therapy, Inc | |
325 Main St, El Segundo, CA 90245-3814 | |
(310) 648-3167 | |
(310) 648-3175 |
Full Name | Davis And Derosa Physical Therapy, Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 325 Main St, El Segundo, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558414102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT25036 (California) | Primary |
Provider Name | Martin J Schneckenberger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972621126 PECOS PAC ID: 2668561630 Enrollment ID: I20071129000292 |
Provider Name | Christopher P Derosa |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003056797 PECOS PAC ID: 4284653171 Enrollment ID: I20100809000858 |
Provider Name | Tami Chang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548400245 PECOS PAC ID: 4385838796 Enrollment ID: I20101029000926 |
Provider Name | Garret L Wong |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174840383 PECOS PAC ID: 9830363100 Enrollment ID: I20111122000886 |
Provider Name | Lianne K Koo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063799898 PECOS PAC ID: 3072788637 Enrollment ID: I20111208000781 |
Provider Name | Troy A Davis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760535314 PECOS PAC ID: 5193744084 Enrollment ID: I20111220000881 |
Provider Name | Kelly Olin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235351586 PECOS PAC ID: 3577715036 Enrollment ID: I20121207000072 |
Provider Name | Courtney Mitchell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821422353 PECOS PAC ID: 6305163411 Enrollment ID: I20150331000837 |
Provider Name | William Lyle Quibell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063742617 PECOS PAC ID: 4688971625 Enrollment ID: I20160318001019 |
Provider Name | Alexandra Rimmer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710401815 PECOS PAC ID: 3476826116 Enrollment ID: I20170831002369 |
Provider Name | Miranda Kerbawy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538669239 PECOS PAC ID: 8426319849 Enrollment ID: I20180228000957 |
Provider Name | Michael Overstreet |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457850869 PECOS PAC ID: 6709147135 Enrollment ID: I20180228001411 |
Provider Name | Andrew Taeho Kim |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386157816 PECOS PAC ID: 4789948381 Enrollment ID: I20180508000710 |
Provider Name | Andrew Ryan Martin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881137164 PECOS PAC ID: 0749560621 Enrollment ID: I20181004000470 |
Provider Name | Conor D Uhlir |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932755493 PECOS PAC ID: 3476884776 Enrollment ID: I20191018000172 |
Provider Name | Mihal Lakhovsky |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164034476 PECOS PAC ID: 4486072600 Enrollment ID: I20200918002382 |
Provider Name | Federico Ryan Ragazzon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952055733 PECOS PAC ID: 2264826783 Enrollment ID: I20220228000984 |
Provider Name | Jayna Coe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851056733 PECOS PAC ID: 3072900281 Enrollment ID: I20220418001327 |
Provider Name | Cristina Gallo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902564057 PECOS PAC ID: 3779960877 Enrollment ID: I20220511000628 |
Provider Name | Carly Brooke Steenerson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962127118 PECOS PAC ID: 1052787553 Enrollment ID: I20221025002850 |
Provider Name | Jenna Raquel Marshall |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598464992 PECOS PAC ID: 8729452875 Enrollment ID: I20230313002515 |
Provider Name | Seth T Pottenger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144920331 PECOS PAC ID: 1052786092 Enrollment ID: I20230405001462 |
Provider Name | Ana Michelle Beqaj |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073203618 PECOS PAC ID: 1254797368 Enrollment ID: I20230516001581 |
Provider Name | Ewelina Kervin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245370188 PECOS PAC ID: 2365485893 Enrollment ID: I20230920000499 |
Provider Name | Chih Chieh Chia |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275313637 PECOS PAC ID: 7113372673 Enrollment ID: I20231018002813 |
Provider Name | Lauren A Cheng |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407617095 PECOS PAC ID: 6901249168 Enrollment ID: I20240205004303 |
Provider Name | David Xavier Portillo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982467130 PECOS PAC ID: 9931543832 Enrollment ID: I20240220000103 |
Provider Name | Christine Marie White |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396509055 PECOS PAC ID: 6103261185 Enrollment ID: I20240229001501 |
Mailing Address | Practice Location Address |
---|---|
Davis And Derosa Physical Therapy, Inc 325 Main St, El Segundo, CA 90245-3814 Ph: (310) 648-3167 | Davis And Derosa Physical Therapy, Inc 325 Main St, El Segundo, CA 90245-3814 Ph: (310) 648-3167 |
Christopher P Derosa, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Main St, El Segundo, CA 90245 Phone: 310-648-3167 | |
Ashley Smith, PT, DPT, CCRT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Pacific Coast Hwy Ste 1000, El Segundo, CA 90245 Phone: 310-640-9911 | |
Mr. Alex M Youssefian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd, Suite 2060, El Segundo, CA 90245 Phone: 626-394-1575 | |
Shelby Plummer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 N Nash St Ste 306, El Segundo, CA 90245 Phone: 310-535-0008 | |
Elizabeth Glozman, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572 | |
Ms. Kimberlee Bickerton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Sierra St, El Segundo, CA 90245 Phone: 310-426-9406 | |
Tag Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572 |