Jonathan Farris, | |
1821 Nantucket Pl, Costa Mesa, CA 92627-4588 | |
(949) 689-6289 | |
Not Available |
Full Name | Jonathan Farris |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1821 Nantucket Pl, Costa Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215646302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Sand Coast Rehab Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Farris, 19191 Harvard Ave, Irvine, CA 92612-4670 Ph: () - | Jonathan Farris, 1821 Nantucket Pl, Costa Mesa, CA 92627-4588 Ph: (949) 689-6289 |
Ms. Elizabeth M Byrne, M.P.T.,A.T.C. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Adams Ave, Suite 201, Costa Mesa, CA 92626 Phone: 714-556-1600 Fax: 714-556-3737 | |
Caroline A Teets, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1112 Fax: 949-250-1404 | |
Mr. Kurt Justin Nofziger, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2651 Irvine Ave, Suite 128, Costa Mesa, CA 92627 Phone: 949-722-8811 Fax: 949-722-9911 | |
Mr. Johnathan Loquasto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 Harbor Blvd Ste F5, Costa Mesa, CA 92626 Phone: 714-540-6792 Fax: 714-540-6794 | |
Kevin Castillo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1122 | |
Haining Su, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1640 Newport Blvd Ste 260, Costa Mesa, CA 92627 Phone: 949-335-7967 | |
Mrs. Michele Leann Elvander, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3124 Taft Way, Costa Mesa, CA 92626 Phone: 562-397-4871 |