Kristy Lauren Ewert, PT | |
220 Greenfield Ave, San Anselmo, CA 94960-2416 | |
(415) 457-4454 | |
(415) 457-4944 |
Full Name | Kristy Lauren Ewert |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 220 Greenfield Ave, San Anselmo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770839839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 39757 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Kristy Lauren Ewert, PT 220 Greenfield Ave, San Anselmo, CA 94960-2416 Ph: (415) 457-4454 | Kristy Lauren Ewert, PT 220 Greenfield Ave, San Anselmo, CA 94960-2416 Ph: (415) 457-4454 |
Erika Nicole Lindland, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454 | |
Sport & Spine Therapy Of Marin Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454 Fax: 415-457-4944 | |
Jason Antone Santos, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454 Fax: 415-457-4944 | |
Carolyn Latham, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14 Kientz Ln, San Anselmo, CA 94960 Phone: 615-604-5367 Fax: 415-492-1925 | |
Ms. Andrea H Roussos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 Los Angeles Blvd, San Anselmo, CA 94960 Phone: 141-525-9028 | |
Dr. Jeremy Roger, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454 | |
Taylor Sloat, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454 |