Hi-desert Physical Rehabilitation Group | |
5930 Adobe Rd, Twentynine Palms, CA 92277-2356 | |
(760) 367-1743 | |
(760) 367-1083 |
Full Name | Hi-desert Physical Rehabilitation Group |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 5930 Adobe Rd, Twentynine Palms, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295886067 | NPI | - | NPPES |
ZZZ07515Z | Other | CA | BLUE SHIELD |
GPT000931 | Medicaid | CA | |
678082 | Other | CA | ACN |
GCT000411 | Medicaid | CA | |
ZZZ08136Z | Other | CA | BLUE SHIELD |
GPT000930 | Medicaid | CA | |
GSP000541 | Medicaid | CA | |
ZZZ07514Z | Other | CA | BLUE SHIELD |
ZZZ08126Z | Other | CA | BLUE SHIELD |
GCT000410 | Medicaid | CA | |
ZZZ08135Z | Other | CA | BLUE SHIELD |
GSP000540 | Medicaid | CA | |
ZZZ08125Z | Other | CA | BLUE SHIELD |
Provider Name | Jay Arthur Forgeron |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053462762 PECOS PAC ID: 6507775442 Enrollment ID: I20040220000269 |
Provider Name | Susan Marie Hurley |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356494074 PECOS PAC ID: 2567454150 Enrollment ID: I20040401001769 |
Provider Name | Jennifer L Diemart |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1043484850 PECOS PAC ID: 7911059548 Enrollment ID: I20090713000557 |
Provider Name | Mark Lostracco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548690837 PECOS PAC ID: 8426375510 Enrollment ID: I20170712003783 |
Provider Name | Gina Wyatt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558765321 PECOS PAC ID: 4880918531 Enrollment ID: I20180209002508 |
Provider Name | Brooks Landy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124371398 PECOS PAC ID: 5395998298 Enrollment ID: I20180213000884 |
Provider Name | Erika Elizabeth Ilkanich |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528421336 PECOS PAC ID: 7113209479 Enrollment ID: I20180618002350 |
Provider Name | Christie M Pirkle |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174985311 PECOS PAC ID: 0648527515 Enrollment ID: I20180724000813 |
Provider Name | Jared C Pirkle |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942752241 PECOS PAC ID: 5294082004 Enrollment ID: I20180725002621 |
Provider Name | Sarah Burns |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1659854180 PECOS PAC ID: 7911251517 Enrollment ID: I20181119000756 |
Provider Name | Joseph Thomas Armeli |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851805816 PECOS PAC ID: 1759649106 Enrollment ID: I20190208001159 |
Provider Name | Hollyann Elise Riley |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003340944 PECOS PAC ID: 4587905831 Enrollment ID: I20190415000767 |
Provider Name | Zachary Hunter Woolever |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598214850 PECOS PAC ID: 2062745573 Enrollment ID: I20190614000060 |
Provider Name | Crystal Lyn Knapp |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306217625 PECOS PAC ID: 4981939329 Enrollment ID: I20190708002663 |
Provider Name | Jill Taylor |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1356995963 PECOS PAC ID: 1456785948 Enrollment ID: I20191216001217 |
Provider Name | Erin Bennett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417589375 PECOS PAC ID: 9830520618 Enrollment ID: I20200511002950 |
Provider Name | Faith Muvuti |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477055663 PECOS PAC ID: 4385075175 Enrollment ID: I20200511003399 |
Provider Name | Kathryn Woolley |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1144834391 PECOS PAC ID: 7810316684 Enrollment ID: I20200928001771 |
Provider Name | Jacquelyn B Leslie |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588144406 PECOS PAC ID: 9537412390 Enrollment ID: I20210518002797 |
Provider Name | Margaret Ann Wilhelm |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891300679 PECOS PAC ID: 5991104788 Enrollment ID: I20210527001709 |
Provider Name | Kayla Cooper |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407422736 PECOS PAC ID: 8527469683 Enrollment ID: I20210625002385 |
Provider Name | Nathan Cuny |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1154993525 PECOS PAC ID: 2264836071 Enrollment ID: I20210802000495 |
Provider Name | Monifa A Williams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558976282 PECOS PAC ID: 2668887290 Enrollment ID: I20210809001352 |
Provider Name | Tess Marianna Fariselli |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184107187 PECOS PAC ID: 2163774894 Enrollment ID: I20211012001876 |
Provider Name | David Le |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598433252 PECOS PAC ID: 0840684486 Enrollment ID: I20220831003951 |
Provider Name | Alycia Quinn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174268833 PECOS PAC ID: 1951786920 Enrollment ID: I20220913000713 |
Provider Name | Laura Christine Gran |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1235444803 PECOS PAC ID: 4082097274 Enrollment ID: I20221007000515 |
Provider Name | Erin Aspaas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083183438 PECOS PAC ID: 6204173289 Enrollment ID: I20230110002294 |
Provider Name | Adam Keith Aspaas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447714639 PECOS PAC ID: 3779978499 Enrollment ID: I20230110002767 |
Provider Name | Lucia Valenzuela |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871227744 PECOS PAC ID: 4880065473 Enrollment ID: I20230628003585 |
Provider Name | Derek S Olson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003497116 PECOS PAC ID: 7911307186 Enrollment ID: I20230629000689 |
Provider Name | Elijah Hazzard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760268312 PECOS PAC ID: 2961856075 Enrollment ID: I20230922003063 |
Provider Name | Kaela Koza |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1457825150 PECOS PAC ID: 7315394145 Enrollment ID: I20231115002634 |
Provider Name | Kathleen Kamerzel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417306572 PECOS PAC ID: 2567727951 Enrollment ID: I20240126003050 |
Provider Name | Michael Stasi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891249348 PECOS PAC ID: 0345538146 Enrollment ID: I20240201003905 |
Provider Name | Shannon E Zorsch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811496938 PECOS PAC ID: 9638423650 Enrollment ID: I20240303000083 |
Provider Name | Sarah Grim |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871193482 PECOS PAC ID: 0143669903 Enrollment ID: I20240412004081 |
Provider Name | Urian Kyung |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801652490 PECOS PAC ID: 3072055151 Enrollment ID: I20240604002792 |
Mailing Address | Practice Location Address |
---|---|
Hi-desert Physical Rehabilitation Group 5930 Adobe Rd, Twentynine Palms, CA 92277-2356 Ph: (760) 367-1743 | Hi-desert Physical Rehabilitation Group 5930 Adobe Rd, Twentynine Palms, CA 92277-2356 Ph: (760) 367-1743 |
Ms. Deandra Leigh Contangelo, M.S. ED., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 Fax: 760-367-1083 | |
Jennifer Diemart, M.A. Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 Fax: 760-367-1083 | |
Kathryn Woolley, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Jennifer Anne Langley, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Jill Henderson Taylor, CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Sarah Joy Burns, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Mrs. Beverly A. Hall, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 Fax: 760-367-1083 |