John Kellie Ellaga Bariuad, | |
222 Acacia St, Fairfield, CA 94533-3800 | |
(707) 200-7274 | |
Not Available |
Full Name | John Kellie Ellaga Bariuad |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 222 Acacia St, Fairfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063173219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 303561 (California) | Primary |
Provider Name | Richard P Carr Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376525840 PECOS PAC ID: 9830182070 Enrollment ID: O20040405001215 |
Provider Name | Body In Balance Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811982747 PECOS PAC ID: 6608857909 Enrollment ID: O20040524001503 |
Mailing Address | Practice Location Address |
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John Kellie Ellaga Bariuad, 2550 Hilborn Rd Apt 256, Fairfield, CA 94534-1070 Ph: () - | John Kellie Ellaga Bariuad, 222 Acacia St, Fairfield, CA 94533-3800 Ph: (707) 200-7274 |
Annapoorna Pidikiti, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1652 W Texas St, Fairfield, CA 94533 Phone: 408-250-2843 | |
Michael Tiopianco, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1255 Travis Blvd, Fairfield, CA 94533 Phone: 707-425-0623 | |
Matthew Lyndon Marshall, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 916-355-1250 Fax: 916-933-0871 | |
Jeffrery Scott Smith, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 222 Acacia St, Fairfield, CA 94533 Phone: 707-421-2095 | |
Norman Ng, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3250 Rancho Solano Pkwy, Fairfield, CA 94534 Phone: 707-646-5470 | |
Myra Carreon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 Dover Ave, Fairfield, CA 94533 Phone: 707-428-1311 |