J Gray O'brien, MSPT | |
2121 Wilshire Bl., Ste 102, Santa Monica, CA 90403 | |
(310) 828-6454 | |
(310) 828-2001 |
Full Name | J Gray O'brien |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 2121 Wilshire Bl., Santa Monica, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336246750 | NPI | - | NPPES |
PT25009 | Other | CA | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT25009 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Foot And Ankle Institute A Podiatric Surgical Center | 3971493347 | 11 |
Provider Name | University Foot And Ankle Institute A Podiatric Surgical Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912014986 PECOS PAC ID: 3971493347 Enrollment ID: O20040318000895 |
Provider Name | Premier Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588985832 PECOS PAC ID: 6709078967 Enrollment ID: O20101006000197 |
Mailing Address | Practice Location Address |
---|---|
J Gray O'brien, MSPT 917 Venezia Ave, Venice, CA 90291-3929 Ph: (310) 305-1850 | J Gray O'brien, MSPT 2121 Wilshire Bl., Ste 102, Santa Monica, CA 90403 Ph: (310) 828-6454 |
Mr. Jared Spencer Vagy, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 | |
Rebecca Marie Pitts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2010 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-878-2540 | |
Eleanor Bachman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 20th St Apt 4, Santa Monica, CA 90404 Phone: 917-755-8910 | |
Lori Jean Mccarty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Wilshire Blvd, Santa Monica, CA 90401 Phone: 310-656-8600 Fax: 310-656-8606 | |
Caitlin E Berry, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 | |
Michael Allan Andersen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 | |
Adrienne Telemaque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 |