Jason Hubbart, | |
1252 Broadway Ste B, Placerville, CA 95667-5827 | |
(530) 622-9410 | |
Not Available |
Full Name | Jason Hubbart |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1252 Broadway Ste B, Placerville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134633274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | 293733 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Jason Hubbart, 1252 Broadway Ste B, Placerville, CA 95667-5827 Ph: (530) 622-9410 | Jason Hubbart, 1252 Broadway Ste B, Placerville, CA 95667-5827 Ph: (530) 622-9410 |
Chet R Yoder, MPT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5798 Hollyberry Ln, Placerville, CA 95667 Phone: 209-273-9844 | |
Malini Parthasarathi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1252 Broadway Ste B, Placerville, CA 95667 Phone: 530-622-9410 Fax: 530-622-9445 | |
Mr. Ronald Eugene Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4300 Golden Center Dr, Suite B, Placerville, CA 95667 Phone: 530-344-2045 Fax: 530-642-0794 | |
Dr. Anna Galloway, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1252 Broadway, Suite B, Placerville, CA 95667 Phone: 530-622-9410 | |
Mahshid Chehrehrazi, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1252 Broadway Ste B, Placerville, CA 95667 Phone: 530-622-9410 | |
Jennifer Marie Joy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4301 Golden Center Dr, Placerville, CA 95667 Phone: 530-621-1100 Fax: 530-621-1104 |