| Maile Bay Jaques, PT | |
|
481 W 6th St, San Pedro, CA 90731-2631 | |
| (424) 536-3023 | |
| (310) 536-3093 |
| Full Name | Maile Bay Jaques |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 481 W 6th St, San Pedro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609107911 | NPI | - | NPPES |
| PT35890 | Other | CA | PHYSICAL THERAPIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT35890 (California) | Primary |
| Provider Name | Excel Physical Therapy Associates Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528212784 PECOS PAC ID: 9537217088 Enrollment ID: O20090511000432 |
| Provider Name | Physical Therapy San Pedro Corp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1144085150 PECOS PAC ID: 0446699029 Enrollment ID: O20240416000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Maile Bay Jaques, PT 481 W 6th St, San Pedro, CA 90731-2631 Ph: (424) 536-3023 | Maile Bay Jaques, PT 481 W 6th St, San Pedro, CA 90731-2631 Ph: (424) 536-3023 |
Praxis Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1360 W 6th St, #210 North Building, San Pedro, CA 90732 Phone: 310-548-3130 | |
Alice Wang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 W 6th St, Suite 101, San Pedro, CA 90731 Phone: 310-547-1850 | |
Eric K Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 W 6th St Ste 101, San Pedro, CA 90731 Phone: 310-547-1850 Fax: 310-547-1972 | |
Christopher Santos Canlas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 W 6th St Ste 101, San Pedro, CA 90731 Phone: 310-547-1850 Fax: 310-547-1972 | |
Mr. Silverton Nguyen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 481 W 6th St, San Pedro, CA 90731 Phone: 424-536-3023 Fax: 424-536-3093 | |
Lisa J Shepard, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 West 6th Street, Suite 101, San Pedro, CA 90732 Phone: 310-547-1850 Fax: 310-547-1972 | |
Ma Christina Salgado-cortez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1176 W 14th St, San Pedro, CA 90731 Phone: 310-972-8049 |