Made To Move Physical Therapy, Inc. | |
615 N Nash St, Ste # 306, El Segundo, CA 90245-2825 | |
(310) 535-0008 | |
(310) 535-0009 |
Full Name | Made To Move Physical Therapy, Inc. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 615 N Nash St, El Segundo, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811095318 | NPI | - | NPPES |
PT0302660 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 30266 (California) | Primary |
Provider Name | Michele K Mccarthy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497848956 PECOS PAC ID: 1951372341 Enrollment ID: I20061211000663 |
Provider Name | Danel Lombard |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851302004 PECOS PAC ID: 2961482815 Enrollment ID: I20140725002372 |
Provider Name | Mayur M Mistry |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306271895 PECOS PAC ID: 6507180775 Enrollment ID: I20150116000310 |
Provider Name | Megan Chamoun |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003356338 PECOS PAC ID: 2466737846 Enrollment ID: I20170327002268 |
Provider Name | Meagan Patricia Senseny Callahan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497307870 PECOS PAC ID: 2264762657 Enrollment ID: I20190927001300 |
Provider Name | Amber Bethanny Fulford |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477929685 PECOS PAC ID: 9133429780 Enrollment ID: I20210928000126 |
Provider Name | Matthew Hasley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891219531 PECOS PAC ID: 2264828334 Enrollment ID: I20220330001250 |
Provider Name | Rosemary Frausto |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174270532 PECOS PAC ID: 7012395940 Enrollment ID: I20220606002777 |
Mailing Address | Practice Location Address |
---|---|
Made To Move Physical Therapy, Inc. 615 N Nash St, Ste # 306, El Segundo, CA 90245-2825 Ph: (310) 535-0008 | Made To Move Physical Therapy, Inc. 615 N Nash St, Ste # 306, El Segundo, CA 90245-2825 Ph: (310) 535-0008 |
Christopher P Derosa, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Main St, El Segundo, CA 90245 Phone: 310-648-3167 | |
Ashley Smith, PT, DPT, CCRT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Pacific Coast Hwy Ste 1000, El Segundo, CA 90245 Phone: 310-640-9911 | |
Mr. Alex M Youssefian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd, Suite 2060, El Segundo, CA 90245 Phone: 626-394-1575 | |
Shelby Plummer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 N Nash St Ste 306, El Segundo, CA 90245 Phone: 310-535-0008 | |
Elizabeth Glozman, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572 | |
Ms. Kimberlee Bickerton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Sierra St, El Segundo, CA 90245 Phone: 310-426-9406 | |
Tag Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572 |