| Innovative Physical Therapy Inc | |
|
5030 Camino De La Siesta, Suite 220, San Diego, CA 92108-3116 | |
| (619) 260-0750 | |
| (619) 260-0201 |
| Full Name | Innovative Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 5030 Camino De La Siesta, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821047580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT12294 (California) | Primary |
| Provider Name | Marilyn S Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073557708 PECOS PAC ID: 4082509484 Enrollment ID: I20060731000164 |
| Provider Name | Lindy Lee First |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568660645 PECOS PAC ID: 9133213770 Enrollment ID: I20070913000525 |
| Provider Name | Maya Anne Bizik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730531328 PECOS PAC ID: 9638458516 Enrollment ID: I20161116002702 |
| Provider Name | Justin Lalonde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629584263 PECOS PAC ID: 8224373683 Enrollment ID: I20181213001229 |
| Provider Name | Joseph Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144852724 PECOS PAC ID: 2062849326 Enrollment ID: I20200226000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Physical Therapy Inc 5030 Camino De La Siesta, Suite 220, San Diego, CA 92108-3116 Ph: (619) 260-0750 | Innovative Physical Therapy Inc 5030 Camino De La Siesta, Suite 220, San Diego, CA 92108-3116 Ph: (619) 260-0750 |
Carmen L Luk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 Phone: 760-209-4868 | |
Emily Richard, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3115 Ocean Front Walk, San Diego, CA 92109 Phone: 858-488-3597 Fax: 858-746-4041 | |
Dr. Alona Mary Yacobovsky, DPT, CWS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8555 Station Village Ln Apt 3217, San Diego, CA 92108 Phone: 702-525-9299 | |
Sean S Mcintire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121 Phone: 858-587-8669 Fax: 858-587-8675 | |
Elena Hapke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4094 4th Ave, San Diego, CA 92103 Phone: 619-515-2545 | |
Jon Garrelts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189 | |
Dobromira Andreeva Arsova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6977 Navajo Rd # 445, San Diego, CA 92119 Phone: 858-848-9917 Fax: 858-987-8653 |