| Elijah Hazzard, PT | |
|
79440 Corporate Center Dr Ste 112, La Quinta, CA 92253-7243 | |
| (760) 771-9054 | |
| (760) 771-9057 |
| Full Name | Elijah Hazzard |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 79440 Corporate Center Dr Ste 112, La Quinta, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760268312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 304851 (California) | Primary |
| Provider Name | H D P R G Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295886067 PECOS PAC ID: 3678465564 Enrollment ID: O20040325001759 |
| Provider Name | All Star Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750559431 PECOS PAC ID: 7719030949 Enrollment ID: O20090812000451 |
| Mailing Address | Practice Location Address |
|---|---|
| Elijah Hazzard, PT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (951) 335-9825 | Elijah Hazzard, PT 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253-7243 Ph: (760) 771-9054 |
Sasha Scofield, Physical Therapist Medicare: Medicare Enrolled Practice Location: 78593 San Marino Ct, La Quinta, CA 92253 Phone: 760-408-7481 | |
Ms. Ma Cherryl Ancheta, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45360 Desert Fox Dr, La Quinta, CA 92253 Phone: 760-610-2533 Fax: 760-610-2533 | |
Perry Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 44025 Jefferson St, Suite 104, La Quinta, CA 92253 Phone: 760-345-5453 Fax: 760-345-7063 | |
Lindsey Dileonardo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45280 Seeley Dr, La Quinta, CA 92253 Phone: 760-610-7200 | |
Prn-california Rehabilitation & Sports Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 79440 Corporate Center Dr, #112, La Quinta, CA 92253 Phone: 760-777-9701 Fax: 760-777-9727 | |
Mildred Jean Reul, RPT,MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 57616 Interlachen, La Quinta, CA 92253 Phone: 760-219-3312 | |
Cory Joseph Berkeley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 79440 Corporate Center Dr, Ste 112, La Quinta, CA 92253 Phone: 760-771-4484 Fax: 760-771-4485 |