Joel T San Nicolas, PT | |
5928 Highway 291, Nine Mile Falls, WA 99026-9525 | |
(509) 465-5663 | |
(509) 467-8663 |
Full Name | Joel T San Nicolas |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 35 Years |
Location | 5928 Highway 291, Nine Mile Falls, Washington |
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 |
---|---|---|---|
1003866658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00005032 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Phase 1 Physical Therapy Ps | 2860595071 | 2 |
Provider Name | Phase 1 Physical Therapy Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235189135 PECOS PAC ID: 2860595071 Enrollment ID: O20070308000380 |
Mailing Address | Practice Location Address |
---|---|
Joel T San Nicolas, PT Po Box 549, Nine Mile Falls, WA 99026-0549 Ph: (509) 465-5663 | Joel T San Nicolas, PT 5928 Highway 291, Nine Mile Falls, WA 99026-9525 Ph: (509) 465-5663 |
Phase 1 Physical Therapy Ps Physical Therapist Medicare: Medicare Enrolled Practice Location: 5928 Highway 291, Nine Mile Falls, WA 99026 Phone: 509-465-5663 Fax: 509-467-8663 | |
Blake H Lavin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6066 Highway 291, Nine Mile Falls, WA 99026 Phone: 509-465-5663 Fax: 509-467-8663 | |
Greater Spokane Therapies Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W 13011 Shore Road, Nine Mile Falls, WA 99026 Phone: 509-991-5678 Fax: 509-328-7802 |