Longevity Physical Therapy | |
2719 Loker Ave W Ste A, Carlsbad, CA 92010-6679 | |
(760) 918-9200 | |
(760) 918-9203 |
Full Name | Longevity Physical Therapy |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 2719 Loker Ave W Ste A, Carlsbad, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568767309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Brett Bloom |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790881639 PECOS PAC ID: 5395630677 Enrollment ID: I20040216001333 |
Provider Name | Kristen May Lopez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376096917 PECOS PAC ID: 5294021283 Enrollment ID: I20160830002621 |
Provider Name | Jaclyn Kay Nash |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962955518 PECOS PAC ID: 7214224385 Enrollment ID: I20160919000715 |
Provider Name | Megan D Reinhold |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588102776 PECOS PAC ID: 7113201534 Enrollment ID: I20170303000571 |
Provider Name | Alexandra Rimmer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710401815 PECOS PAC ID: 3476826116 Enrollment ID: I20170831002369 |
Provider Name | Casey Waller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659926301 PECOS PAC ID: 4587995006 Enrollment ID: I20191015002579 |
Provider Name | Kevin Casey Greer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699309971 PECOS PAC ID: 4082043518 Enrollment ID: I20200406000552 |
Provider Name | Brett Ballesteros |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396370177 PECOS PAC ID: 9032540679 Enrollment ID: I20200514000749 |
Provider Name | Yvonne Kathleen Calderon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679099790 PECOS PAC ID: 3375803133 Enrollment ID: I20200701000317 |
Provider Name | Rachel M Roesgen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447876925 PECOS PAC ID: 0345666061 Enrollment ID: I20200812001775 |
Provider Name | Mihal Lakhovsky |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164034476 PECOS PAC ID: 4486072600 Enrollment ID: I20200918002382 |
Provider Name | Robert Rodriguez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649672411 PECOS PAC ID: 1850512427 Enrollment ID: I20201013000495 |
Provider Name | Alexandra J Anderson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346870706 PECOS PAC ID: 5799195475 Enrollment ID: I20201109001719 |
Provider Name | Eric Christopher Schulte |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710567607 PECOS PAC ID: 7618377631 Enrollment ID: I20210614001646 |
Provider Name | Nicholas Bruce Van Hoorn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922774744 PECOS PAC ID: 5193121952 Enrollment ID: I20210902003115 |
Provider Name | Chad Isamu Nakagawa |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235809047 PECOS PAC ID: 5294133278 Enrollment ID: I20211005002501 |
Provider Name | Jolene Rice |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457924698 PECOS PAC ID: 1254721335 Enrollment ID: I20211203000979 |
Provider Name | Alexa Hadinoto |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134886799 PECOS PAC ID: 3971994641 Enrollment ID: I20220107000505 |
Provider Name | Jimmy Vu |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699435313 PECOS PAC ID: 9234522996 Enrollment ID: I20220202001147 |
Provider Name | Alyssa Janelle Mcclintick |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396490496 PECOS PAC ID: 5193119154 Enrollment ID: I20220308002462 |
Provider Name | Juan Pablo Murcia |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194495762 PECOS PAC ID: 4385031244 Enrollment ID: I20220422001032 |
Provider Name | Rachel Kay Berman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043926983 PECOS PAC ID: 5092187039 Enrollment ID: I20230221000466 |
Provider Name | Brandon Tran |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790569176 PECOS PAC ID: 8820443708 Enrollment ID: I20231012001704 |
Provider Name | Tanner Mccloud Roche |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710763289 PECOS PAC ID: 7618322173 Enrollment ID: I20231018003096 |
Provider Name | Victoria Wood |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003694662 PECOS PAC ID: 6406202878 Enrollment ID: I20231023000761 |
Provider Name | Casey Jo Riordan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457115412 PECOS PAC ID: 3274972716 Enrollment ID: I20240417002505 |
Mailing Address | Practice Location Address |
---|---|
Longevity Physical Therapy 1084 N El Camino Real # B-351, Encinitas, CA 92024-1334 Ph: (760) 918-9200 | Longevity Physical Therapy 2719 Loker Ave W Ste A, Carlsbad, CA 92010-6679 Ph: (760) 918-9200 |
Dr. Victoria Wood, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2719 Loker Ave W Ste A, Carlsbad, CA 92010 Phone: 760-918-9200 Fax: 760-918-9203 | |
Mariaandrea Garro, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2712 Madison St, Carlsbad, CA 92008 Phone: 760-729-5433 Fax: 760-729-1764 | |
Amy Gonzales, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3229 Avenida De Sueno, Carlsbad, CA 92009 Phone: 760-505-0035 | |
Erika England, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6102 Avenida Encinas, Suite E, Carlsbad, CA 92011 Phone: 760-634-9750 Fax: 760-634-9752 | |
Dr. Rachel Berman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2719 Loker Ave W Ste A, Carlsbad, CA 92010 Phone: 760-918-9200 | |
Heather Berryhill, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6070 Avenida Encinas # 100, Carlsbad, CA 92011 Phone: 760-388-6475 | |
Jenifer Walsh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7524 Gibraltar St, Unit C, Carlsbad, CA 92009 Phone: 805-795-4102 |