| Matthew Doull, DPT | |
|
10800 Magnolia Ave, Riverside, CA 92505-3043 | |
| (951) 353-2000 | |
| Not Available |
| Full Name | Matthew Doull |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 10800 Magnolia Ave, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619641859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 300503 (California) | Primary |
| Provider Name | Tri-city Orthopaedic Surgery Medical Group Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861451445 PECOS PAC ID: 1153388434 Enrollment ID: O20041217000878 |
| Provider Name | Orthopaedic And Neurological Rehabilitation, Speech Pathology, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Doull, DPT 4 Creekside Dr Unit 320, San Marcos, CA 92078-2363 Ph: (760) 712-5459 | Matthew Doull, DPT 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (951) 353-2000 |
Mrs. Deanna Michelle Vizon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507 Phone: 951-653-4480 Fax: 951-653-5051 | |
Anocha Suphol, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Magnolia Ave, Riverside, CA 92501 Phone: 951-274-3524 Fax: 951-274-3442 | |
Lindsay Aho, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744 Fax: 951-274-7754 | |
Theodore Ronald Oliver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402 Fax: 951-848-9676 | |
Joy Shiba, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402 | |
Jason Eric Herrera, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744 | |
Kevin Wu, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3421 Arlington Ave Ste 105, Riverside, CA 92506 Phone: 951-684-2865 |