Dr John Patrick Azucena Gloria, DPT | |
3016 Radiant Way, Roseville, CA 95747-8736 | |
(973) 262-0986 | |
Not Available |
Full Name | Dr John Patrick Azucena Gloria |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3016 Radiant Way, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982264750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01775900 (New Jersey) | Secondary |
225100000X | Physical Therapist | 296734 (California) | Primary |
Provider Name | California Sports Physical Therapy Centers Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467436329 PECOS PAC ID: 7618956889 Enrollment ID: O20050707001097 |
Provider Name | Milestone Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1306422274 PECOS PAC ID: 0547662553 Enrollment ID: O20210714000706 |
Mailing Address | Practice Location Address |
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Dr John Patrick Azucena Gloria, DPT 3016 Radiant Way, Roseville, CA 95747-8736 Ph: (973) 262-0986 | Dr John Patrick Azucena Gloria, DPT 3016 Radiant Way, Roseville, CA 95747-8736 Ph: (973) 262-0986 |
Rebecca S Brooks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 568 N Sunrise Ave, Suite 100, Roseville, CA 95661 Phone: 916-781-5188 Fax: 916-781-5187 | |
Mr. Bryce Phillip Cartwright, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4954 | |
Armen Bryan Cuadra, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 Lava Ridge Ct, Suite 330, Roseville, CA 95661 Phone: 916-367-9909 | |
Michael Mclain, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Eureka Rd, Roseville, CA 95661 Phone: 916-782-2761 Fax: 916-751-2430 | |
Ms. Hope Marilyn Broman, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1161 Cirby Way, Roseville, CA 95661 Phone: 916-782-1238 | |
Brett Pinkney, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 588 N Sunrise Ave Ste 100, Roseville, CA 95661 Phone: 916-782-7848 Fax: 916-782-7848 | |