Jordan Chukwuemeka Meregini, | |
10538 Mission Gorge Rd Ste 120, Santee, CA 92071-3154 | |
(619) 312-6109 | |
(619) 312-6110 |
Full Name | Jordan Chukwuemeka Meregini |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 10538 Mission Gorge Rd Ste 120, Santee, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790356624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 306170 (California) | Secondary |
225100000X | Physical Therapist | 1349362 (Texas) | Primary |
Provider Name | 360 Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932430949 PECOS PAC ID: 1355237645 Enrollment ID: O20040224000822 |
Mailing Address | Practice Location Address |
---|---|
Jordan Chukwuemeka Meregini, 10538 Mission Gorge Rd Ste 120, Santee, CA 92071-3154 Ph: (469) 865-3012 | Jordan Chukwuemeka Meregini, 10538 Mission Gorge Rd Ste 120, Santee, CA 92071-3154 Ph: (619) 312-6109 |
Mr. Rhad Brown, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 619-568-8105 Fax: 619-568-8084 | |
Nicole Loewer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9830 Prospect Ave Ste A, Santee, CA 92071 Phone: 619-448-4860 Fax: 619-448-1639 | |
Ivette C Busacco, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9065 Edgemoor Dr, Santee, CA 92071 Phone: 619-956-2849 Fax: 619-956-2914 | |
Amanda Marie Whalen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 619-568-8105 | |
Josielyn Alcazar-bautista, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9715 Hinsdale St, Santee, CA 92071 Phone: 619-618-8019 | |
Norma Khalife Rouillard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8790 Cuyamaca St, Suite A, Santee, CA 92071 Phone: 619-596-5969 Fax: 619-596-5970 | |
Kaycee Gunion, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9240 Todos Santos Dr, Santee, CA 92071 Phone: 619-415-6954 |