| 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 |
|---|---|
| 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 Brown, 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 | |
Austin Barbeau, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10538 Mission Gorge Rd Ste 120, Santee, CA 92071 Phone: 619-312-6109 | |
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 |