| Genesis Physical Therapy Inc. | |
|
2807 E. Cochran Street, Simi Valley, CA 93065-1207 | |
| (805) 583-9575 | |
| Not Available |
| Full Name | Genesis Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2807 E. Cochran Street, Simi Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467467282 | NPI | - | NPPES |
| 607330100 | Other | CA | DEPT OF LABOR |
| ZZZ65708Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT26886 (California) | Primary |
| Provider Name | Ray Camacho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457719262 PECOS PAC ID: 9234423054 Enrollment ID: I20160802001672 |
| Provider Name | Elnaz Khalili |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518513977 PECOS PAC ID: 3476982844 Enrollment ID: I20200406002269 |
| Provider Name | Armin Sheikh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194599050 PECOS PAC ID: 6709227820 Enrollment ID: I20240507002962 |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Physical Therapy Inc. Po Box 1448, Simi Valley, CA 93062-1448 Ph: (805) 583-9575 | Genesis Physical Therapy Inc. 2807 E. Cochran Street, Simi Valley, CA 93065-1207 Ph: (805) 583-9575 |
Mark Mako, P.T., O.C.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2585 Cochran St, Suite A, Simi Valley, CA 93065 Phone: 805-584-0001 Fax: 805-527-9135 | |
Antonio Oribel Torres, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2034 Sebring St, Simi Valley, CA 93065 Phone: 661-342-6748 | |
Mr. Brian Carson, M.P.T., C.S.C.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Madera Rd, Suite G, Simi Valley, CA 93065 Phone: 805-306-1622 Fax: 805-306-1611 | |
Mrs. Kristin Gail Kerns, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1687 Erringer Rd, Suite 109, Simi Valley, CA 93065 Phone: 805-584-8054 Fax: 805-584-2437 | |
Molly Breckley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2525 Erringer Rd, Simi Valley, CA 93065 Phone: 805-526-2311 Fax: 805-526-6608 | |
Dr. Sean Edward Wronka, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Madera Rd Unit I-1, Simi Valley, CA 93065 Phone: 805-306-1622 | |
Melissa Deanne Dethloff, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2315 Kuehner Dr, #115, Simi Valley, CA 93063 Phone: 805-823-8200 Fax: 805-823-8208 |