Marilyn Staroba Johnson, PT | |
5030 Camino De La Siesta Ste 220, San Diego, CA 92108-3118 | |
(619) 260-0750 | |
(619) 260-0201 |
Full Name | Marilyn Staroba Johnson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 40 Years |
Location | 5030 Camino De La Siesta Ste 220, San Diego, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073557708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT12294 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Innovative Physical Therapy, Inc. | 0042223703 | 3 |
Provider Name | Innovative Physical Therapy, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821047580 PECOS PAC ID: 0042223703 Enrollment ID: O20060724000345 |
Mailing Address | Practice Location Address |
---|---|
Marilyn Staroba Johnson, PT 5030 Camino De La Siesta Ste 220, San Diego, CA 92108-3118 Ph: (619) 260-0750 | Marilyn Staroba Johnson, PT 5030 Camino De La Siesta Ste 220, San Diego, CA 92108-3118 Ph: (619) 260-0750 |
Carmen L Luk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 Phone: 760-209-4868 | |
Emily Richard, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3115 Ocean Front Walk, San Diego, CA 92109 Phone: 858-488-3597 Fax: 858-746-4041 | |
Dr. Alona Mary Yacobovsky, DPT, CWS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8555 Station Village Ln Apt 3217, San Diego, CA 92108 Phone: 702-525-9299 | |
Sean S Mcintire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121 Phone: 858-587-8669 Fax: 858-587-8675 | |
Elena Hapke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4094 4th Ave, San Diego, CA 92103 Phone: 619-515-2545 | |
Jon Garrelts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189 | |
Dobromira Andreeva Arsova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6977 Navajo Rd # 445, San Diego, CA 92119 Phone: 858-848-9917 Fax: 858-987-8653 |