Jarett Ennis, | |
2 Las Estrellas Loop, Rancho Mission Viejo, CA 92694-2401 | |
(866) 467-7317 | |
Not Available |
Full Name | Jarett Ennis |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 2 Las Estrellas Loop, Rancho Mission Viejo, 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 |
---|---|---|---|
1649841354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New Life Physical Therapy Services Pc | 7214207125 | 63 |
Provider Name | New Life Physical Therapy Services Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1285160788 PECOS PAC ID: 7214207125 Enrollment ID: O20170726001800 |
Mailing Address | Practice Location Address |
---|---|
Jarett Ennis, 26941 Braemar, Mission Viejo, CA 92691-7432 Ph: () - | Jarett Ennis, 2 Las Estrellas Loop, Rancho Mission Viejo, CA 92694-2401 Ph: (866) 467-7317 |
Armia Abdo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Yerra St, Rancho Mission Viejo, CA 92694 Phone: 714-801-4285 | |
Lisa Whitley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Amistad Dr, Rancho Mission Viejo, CA 92694 Phone: 949-979-5675 | |
Krystal Von Pohle, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Las Estrellas Loop, Rancho Mission Viejo, CA 92694 Phone: 949-545-2200 |