Experience Physical Therapy Corp. is a medicare enrolled "Clinic/center - Physical Therapy" provider in Fremont, California. Their current practice location is
1860 Mowry Ave Ste 102, Fremont, California. You can reach out to their office (for appointments etc.) via phone at
(510) 371-1178.
Experience Physical Therapy Corp. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Experience Physical Therapy Corp.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1932948585.
Healthcare Provider's Profile
Full Name | Experience Physical Therapy Corp. |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 1860 Mowry Ave Ste 102, Fremont, California |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932948585
- Provider Enumeration Date: 05/23/2024
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476090101
- Enrollment ID: O20240731000430
Medical Identifiers
Medical identifiers for Experience Physical Therapy Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932948585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Experience Physical Therapy Corp. acts as a billing entity for following providers:
Provider Name | Calvin Kai-yan Lee |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1467120683 PECOS PAC ID: 4284027715 Enrollment ID: I20220207000186 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Experience Physical Therapy Corp. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Experience Physical Therapy Corp. 4793 Phebe Ave, Fremont, CA 94555-2502 Ph: (510) 371-1178 | Experience Physical Therapy Corp. 1860 Mowry Ave Ste 102, Fremont, CA 94538-1730 Ph: (510) 371-1178 |
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