Dr Bradley Hambleton Whitley, DPT | |
2690 Via De La Valle Ste D160, Del Mar, CA 92014-1991 | |
(509) 294-5289 | |
Not Available |
Full Name | Dr Bradley Hambleton Whitley |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2690 Via De La Valle Ste D160, Del Mar, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811411960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT60768679 (Washington) | Secondary |
225100000X | Physical Therapist | 297201 (California) | Primary |
Provider Name | Bespoke San Diego Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245847540 PECOS PAC ID: 7012388168 Enrollment ID: O20230127000545 |
Mailing Address | Practice Location Address |
---|---|
Dr Bradley Hambleton Whitley, DPT 5653 Riley St Apt 105, San Diego, CA 92110-2567 Ph: (509) 294-5289 | Dr Bradley Hambleton Whitley, DPT 2690 Via De La Valle Ste D160, Del Mar, CA 92014-1991 Ph: (509) 294-5289 |
Kayla Frost, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3790 Via De La Valle, Del Mar, CA 92014 Phone: 858-350-6500 | |
Ms. Virginia Genevieve Gamble, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2825 Camino Del Mar, Apt 66, Del Mar, CA 92014 Phone: 310-985-9303 | |
Arianna Robichaux, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12865 Pointe Del Mar Way Ste 190, Del Mar, CA 92014 Phone: 844-316-7979 Fax: 866-813-1235 | |
Shawna Crescenzo, MSPT, OCS, CPI Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 Camino Del Mar Ste G, Del Mar, CA 92014 Phone: 858-792-1124 Fax: 858-792-7775 | |
Mr. Matthew S. Walzer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12865 Pointe Del Mar Way, Suite 200, Del Mar, CA 92014 Phone: 858-535-1894 Fax: 858-535-1863 | |
Mr. Robert Michael Quintas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 14th St, Del Mar, CA 92014 Phone: 858-755-1229 | |
Michael Evan Kastan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2690 Via De La Valle Ste D160, Del Mar, CA 92014 Phone: 858-290-0855 |