Jacob Mason, PT | |
35325 Date Palm Dr Ste 131, Cathedral City, CA 92234-7031 | |
(760) 202-0368 | |
(760) 770-1973 |
Full Name | Jacob Mason |
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Gender | Male |
Speciality | Physical Therapist |
Location | 35325 Date Palm Dr Ste 131, Cathedral City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588361455 | NPI | - | NPPES |
Provider Name | Tidewater Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
Mailing Address | Practice Location Address |
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Jacob Mason, PT 183 Fox Crossing Rd, Griffin, GA 30224-8268 Ph: (678) 972-7151 | Jacob Mason, PT 35325 Date Palm Dr Ste 131, Cathedral City, CA 92234-7031 Ph: (760) 202-0368 |
Paul Crawford, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 69472 Serenity Rd, Cathedral City, CA 92234 Phone: 760-409-6383 Fax: 866-225-9947 | |
Leonard Merlin Galloway, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27620 Landau Blvd, Suite 3, Cathedral City, CA 92234 Phone: 760-322-5090 Fax: 760-322-9175 | |
Kristina Thornhill, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 69472 Serenity Rd, Cathedral City, CA 92234 Phone: 760-440-9638 Fax: 866-225-9947 | |
Sophia A Risorto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68860 Perez Rd Ste E2, Cathedral City, CA 92234 Phone: 760-770-6651 Fax: 760-770-6651 | |
Kelly Hume, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27620 Landau Blvd, Ste 3, Cathedral City, CA 92234 Phone: 760-322-5090 Fax: 760-322-9175 | |
Mr. Luke D Gentry, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35325 Date Palm Dr, Suite 131, Cathedral City, CA 92234 Phone: 760-202-0368 Fax: 760-770-1973 | |
Jan Therese Hocutt, SLP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 69472 Serenity Rd, Cathedral City, CA 92234 Phone: 760-831-5228 Fax: 866-225-9947 |