Jeffrey Hennessy, DPT | |
2001 Wilshire Blvd Ste 310, Santa Monica, CA 90403-5683 | |
(310) 829-3320 | |
Not Available |
Full Name | Jeffrey Hennessy |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 2001 Wilshire Blvd Ste 310, 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 |
---|---|---|---|
1922747864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | J1-0014540 (Delaware) | Secondary |
225100000X | Physical Therapist | 304200 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Select Cs Physical Therapy Pc | 1355742081 | 113 |
Provider Name | Select Cs Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043894090 PECOS PAC ID: 1355742081 Enrollment ID: O20210701000787 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Hennessy, DPT 2001 Wilshire Blvd Ste 310, Santa Monica, CA 90403-5683 Ph: (310) 829-3320 | Jeffrey Hennessy, DPT 2001 Wilshire Blvd Ste 310, Santa Monica, CA 90403-5683 Ph: (310) 829-3320 |
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 |