| |
78365 Highway 111, Suite167, La Quinta, CA 92253-2071 | |
(760) 324-6400 | |
(760) 328-8216 |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist - Sports |
Location | 78365 Highway 111, La Quinta, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689884991 | NPI | - | NPPES |
0PT193551 | Other | CA | MEDICARE PTAN INDIVIDUAL |
ZZZ29525Z | Other | CA | MEDICARE PTAN GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | 2251S0007X (California) | Primary |
Provider Name | Angela K Prescott |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619913662 PECOS PAC ID: 5799762274 Enrollment ID: I20040706000901 |
Mailing Address | Practice Location Address |
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78365 Highway 111, Suite # 167, La Quinta, CA 92253-2071 Ph: (760) 324-6400 | 78365 Highway 111, Suite167, La Quinta, CA 92253-2071 Ph: (760) 324-6400 |
Sasha Scofield, Physical Therapist Medicare: Medicare Enrolled Practice Location: 78593 San Marino Ct, La Quinta, CA 92253 Phone: 760-408-7481 | |
Ms. Ma Cherryl Ancheta, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45360 Desert Fox Dr, La Quinta, CA 92253 Phone: 760-610-2533 Fax: 760-610-2533 | |
Perry Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44025 Jefferson St, Suite 104, La Quinta, CA 92253 Phone: 760-345-5453 Fax: 760-345-7063 | |
Lindsey Dileonardo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45280 Seeley Dr, La Quinta, CA 92253 Phone: 760-610-7200 | |
Mildred Jean Reul, RPT,MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 57616 Interlachen, La Quinta, CA 92253 Phone: 760-219-3312 | |
Cory Joseph Berkeley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 79440 Corporate Center Dr, Ste 112, La Quinta, CA 92253 Phone: 760-771-4484 Fax: 760-771-4485 |