| Mdrs Spine & Sport, Inc | |
|
3707 Convoy St Ste 100, San Diego, CA 92111-3754 | |
| (858) 573-9368 | |
| (858) 874-0582 |
| Full Name | Mdrs Spine & Sport, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3707 Convoy St Ste 100, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952394603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Kristen J Glidewell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790707644 PECOS PAC ID: 7719881846 Enrollment ID: I20031212000478 |
| Provider Name | Elijah J Bishop |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710902051 PECOS PAC ID: 7315839131 Enrollment ID: I20040331001500 |
| Provider Name | Jack M Lomba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013091453 PECOS PAC ID: 7012900509 Enrollment ID: I20040408000718 |
| Provider Name | Paul M Lefko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952489668 PECOS PAC ID: 1850352097 Enrollment ID: I20041022000479 |
| Provider Name | Kathryn M Caucci Gates |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902311780 PECOS PAC ID: 6901860667 Enrollment ID: I20041112001170 |
| Provider Name | Norma K Rouillard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194727305 PECOS PAC ID: 3375583982 Enrollment ID: I20050503000922 |
| Provider Name | Patrick J Dalton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265494132 PECOS PAC ID: 0042254013 Enrollment ID: I20050610000837 |
| Provider Name | Jeffery K Bradley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073695771 PECOS PAC ID: 0840236584 Enrollment ID: I20050701000831 |
| Provider Name | Norja N Rodman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841275930 PECOS PAC ID: 4789611120 Enrollment ID: I20050718000889 |
| Provider Name | Fd B Branham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114902392 PECOS PAC ID: 3375551757 Enrollment ID: I20060327000367 |
| Provider Name | Jonathan M Royce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811925985 PECOS PAC ID: 3375553126 Enrollment ID: I20060425000304 |
| Provider Name | Jennifer Marie Souza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447215397 PECOS PAC ID: 8325059595 Enrollment ID: I20060601000264 |
| Provider Name | Monica C Jimenez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952446650 PECOS PAC ID: 3476658212 Enrollment ID: I20070423000529 |
| Provider Name | Debra Hagel-wollman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306058797 PECOS PAC ID: 2163564311 Enrollment ID: I20100126000565 |
| Provider Name | Melissa Walls |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407888308 PECOS PAC ID: 4385770072 Enrollment ID: I20100406000130 |
| Provider Name | Brian E Carson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043542731 PECOS PAC ID: 1153458740 Enrollment ID: I20100430000366 |
| Provider Name | Eric S Honbo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528191079 PECOS PAC ID: 0941334189 Enrollment ID: I20100810000718 |
| Provider Name | Cody G Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134368368 PECOS PAC ID: 9830154731 Enrollment ID: I20100810000978 |
| Provider Name | Richard J Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255638979 PECOS PAC ID: 3577746049 Enrollment ID: I20110321000650 |
| Provider Name | Leah M. King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134423155 PECOS PAC ID: 4183807050 Enrollment ID: I20110330000781 |
| Provider Name | Kevin C Lindblom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548566474 PECOS PAC ID: 0244416287 Enrollment ID: I20110509000819 |
| Provider Name | Amanda L Peeler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568750438 PECOS PAC ID: 5799955258 Enrollment ID: I20110819000483 |
| Provider Name | Yiju Kuo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245532613 PECOS PAC ID: 8628249232 Enrollment ID: I20110912000200 |
| Provider Name | Elliot S Rover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669608071 PECOS PAC ID: 8628240660 Enrollment ID: I20111116000462 |
| Provider Name | James Arthur Magnusson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780758284 PECOS PAC ID: 4880645589 Enrollment ID: I20120225000158 |
| Provider Name | Julie M Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811018302 PECOS PAC ID: 6305007824 Enrollment ID: I20120410000570 |
| Provider Name | Lisa Y Maxey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144595877 PECOS PAC ID: 1759537715 Enrollment ID: I20120807000195 |
| Provider Name | Brendan S Strem |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033498084 PECOS PAC ID: 8527219237 Enrollment ID: I20121106000231 |
| Provider Name | Linda Marie Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518235761 PECOS PAC ID: 7719122936 Enrollment ID: I20130318000163 |
| Provider Name | Charles White |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700216835 PECOS PAC ID: 2466681234 Enrollment ID: I20140128001007 |
| Provider Name | Aileen Jin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235565698 PECOS PAC ID: 1951530450 Enrollment ID: I20140203001426 |
| Provider Name | Andrew Q Duong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154745404 PECOS PAC ID: 4385876796 Enrollment ID: I20140418000106 |
| Provider Name | Darrelyn Dutcher Wolf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194847574 PECOS PAC ID: 5890918817 Enrollment ID: I20140520002531 |
| Provider Name | Alexander E Rheaume |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053659854 PECOS PAC ID: 5193947398 Enrollment ID: I20141103001815 |
| Provider Name | Ashley Rose Nagler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477955581 PECOS PAC ID: 3072839059 Enrollment ID: I20150310002183 |
| Provider Name | Eric Schleicher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861667578 PECOS PAC ID: 2365416500 Enrollment ID: I20150316000514 |
| Provider Name | Jay-paul Thornburg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447674379 PECOS PAC ID: 3577879857 Enrollment ID: I20150901001856 |
| Provider Name | Sheila M Morris |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689039877 PECOS PAC ID: 1052611886 Enrollment ID: I20151201001937 |
| Provider Name | Brandon Phelps |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912371188 PECOS PAC ID: 5092017681 Enrollment ID: I20160114000415 |
| Provider Name | Jaclyn Perakis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770958621 PECOS PAC ID: 0042514465 Enrollment ID: I20160205000235 |
| Provider Name | Michael A Piekarski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508221342 PECOS PAC ID: 5496059123 Enrollment ID: I20160217000714 |
| Provider Name | Matthew Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790145217 PECOS PAC ID: 8820396708 Enrollment ID: I20160408000997 |
| Provider Name | Josef Daniel Mielke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154783652 PECOS PAC ID: 8325347115 Enrollment ID: I20160428002206 |
| Provider Name | Eric M Boranian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386090801 PECOS PAC ID: 5890085815 Enrollment ID: I20160603001101 |
| Provider Name | Anthony S Gravin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649640988 PECOS PAC ID: 7911204391 Enrollment ID: I20160629001815 |
| Provider Name | Christopher Ross Wolfinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518412790 PECOS PAC ID: 4981990199 Enrollment ID: I20160913002830 |
| Provider Name | Douglas D Wisdom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912157637 PECOS PAC ID: 1355247040 Enrollment ID: I20170112002283 |
| Provider Name | Jadriane C Owens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689112179 PECOS PAC ID: 9830472869 Enrollment ID: I20170216001958 |
| Provider Name | Pedro Camargo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174662001 PECOS PAC ID: 9931473899 Enrollment ID: I20170916000394 |
| Provider Name | Carly J Bagnall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356867840 PECOS PAC ID: 8729354527 Enrollment ID: I20171023002639 |
| Provider Name | Jillian Leigh Kitterick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134630189 PECOS PAC ID: 0840557179 Enrollment ID: I20171122000003 |
| Provider Name | Samantha Rose Magnani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285148981 PECOS PAC ID: 4688936222 Enrollment ID: I20180320001776 |
| Provider Name | Matthew C Langworthy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750872768 PECOS PAC ID: 0547517658 Enrollment ID: I20180720000867 |
| Provider Name | Jacqueline Michelle Quinn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023071909 PECOS PAC ID: 0547506305 Enrollment ID: I20190115003075 |
| Provider Name | Piyush P Shelar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346722980 PECOS PAC ID: 5496094716 Enrollment ID: I20190305000894 |
| Provider Name | Hayden G Block |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275099558 PECOS PAC ID: 3375882418 Enrollment ID: I20190306003250 |
| Provider Name | Nicholas J Magnusson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023567807 PECOS PAC ID: 4385987338 Enrollment ID: I20190515002057 |
| Provider Name | Grant Frost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225520398 PECOS PAC ID: 6406185958 Enrollment ID: I20190909000998 |
| Provider Name | Stephanie A Sapien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215586094 PECOS PAC ID: 6103258462 Enrollment ID: I20191107002223 |
| Provider Name | Daniel J Mortimer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316447279 PECOS PAC ID: 0840622833 Enrollment ID: I20191113000531 |
| Provider Name | Richard Rommelfanger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346269446 PECOS PAC ID: 8325032824 Enrollment ID: I20191212003100 |
| Provider Name | Trevor Scott Horn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144866872 PECOS PAC ID: 5395179535 Enrollment ID: I20191223000670 |
| Provider Name | Julia Elizabeth Berry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053966713 PECOS PAC ID: 0446684690 Enrollment ID: I20191223001328 |
| Provider Name | Adam E Brhel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215413836 PECOS PAC ID: 7517217565 Enrollment ID: I20200128002866 |
| Provider Name | George Patrick Cummings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497236384 PECOS PAC ID: 5890030100 Enrollment ID: I20200211001926 |
| Provider Name | Dustin Ja Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053943720 PECOS PAC ID: 2163859513 Enrollment ID: I20200228001352 |
| Provider Name | Timothy Luttik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578195954 PECOS PAC ID: 7113354168 Enrollment ID: I20200303002587 |
| Provider Name | Herman A Mariano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770859332 PECOS PAC ID: 1355506650 Enrollment ID: I20200407000844 |
| Provider Name | Parvin Mohebban |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265657787 PECOS PAC ID: 2365863677 Enrollment ID: I20200521002411 |
| Provider Name | Lauren K Russell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992091763 PECOS PAC ID: 1153569975 Enrollment ID: I20200828000578 |
| Provider Name | Federico Tunesi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265054258 PECOS PAC ID: 9739501180 Enrollment ID: I20200831001125 |
| Provider Name | Barbara Nmi Brumet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952459075 PECOS PAC ID: 8224131966 Enrollment ID: I20200903002302 |
| Provider Name | Emma Stephens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902386170 PECOS PAC ID: 0749532695 Enrollment ID: I20200910001347 |
| Provider Name | Sophia Shlosman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104430784 PECOS PAC ID: 5294153888 Enrollment ID: I20200914002305 |
| Provider Name | Farah Makani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356949127 PECOS PAC ID: 7315357662 Enrollment ID: I20201028000452 |
| Provider Name | Robert C Yee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225649098 PECOS PAC ID: 0840600763 Enrollment ID: I20201104002674 |
| Provider Name | Dylan T Steinhauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013519669 PECOS PAC ID: 6901217967 Enrollment ID: I20201123001598 |
| Provider Name | Athenie J Galvez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477168250 PECOS PAC ID: 7810309028 Enrollment ID: I20201211002176 |
| Provider Name | Lauren Yamada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124621008 PECOS PAC ID: 5890108864 Enrollment ID: I20210112001585 |
| Provider Name | Muhammad U.g. Khan Kk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902493364 PECOS PAC ID: 6901219823 Enrollment ID: I20210113001363 |
| Provider Name | Jennifer Reid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235694274 PECOS PAC ID: 1658792635 Enrollment ID: I20210114002996 |
| Provider Name | Stuart Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134540735 PECOS PAC ID: 2365730637 Enrollment ID: I20210211002522 |
| Provider Name | David Ruelas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669079489 PECOS PAC ID: 5799191094 Enrollment ID: I20210311001617 |
| Provider Name | Taylor R Sloat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316532567 PECOS PAC ID: 0648688630 Enrollment ID: I20210412001331 |
| Provider Name | Kelcie Brodsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326626516 PECOS PAC ID: 2860800737 Enrollment ID: I20210413002105 |
| Provider Name | Emily Dunne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861084873 PECOS PAC ID: 4183032899 Enrollment ID: I20210419001782 |
| Provider Name | Jacquelyn B Leslie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588144406 PECOS PAC ID: 9537412390 Enrollment ID: I20210518002797 |
| Provider Name | Deanna Harn Lee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780250431 PECOS PAC ID: 1658771340 Enrollment ID: I20210617001197 |
| Provider Name | Mackenzie Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356955751 PECOS PAC ID: 8921400193 Enrollment ID: I20210709002271 |
| Provider Name | Hoang Vu Le |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174192694 PECOS PAC ID: 1052714623 Enrollment ID: I20210721000390 |
| Provider Name | Regine Rossi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457944498 PECOS PAC ID: 5193128551 Enrollment ID: I20210722000836 |
| Provider Name | Jenna Mayeda-jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326711854 PECOS PAC ID: 2062817299 Enrollment ID: I20210825002928 |
| Provider Name | Sophia Guese |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760093884 PECOS PAC ID: 4082018593 Enrollment ID: I20210916002030 |
| Provider Name | Austin Shutler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427727767 PECOS PAC ID: 5092113282 Enrollment ID: I20211001000572 |
| Provider Name | Brett Lingelbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376206748 PECOS PAC ID: 9638567365 Enrollment ID: I20211028001759 |
| Provider Name | Philip M Schaub |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053826024 PECOS PAC ID: 9032508189 Enrollment ID: I20211111002138 |
| Provider Name | Michael Woodard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083371314 PECOS PAC ID: 3779973904 Enrollment ID: I20211202001602 |
| Provider Name | Nicholas John Bowden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184391880 PECOS PAC ID: 1759771637 Enrollment ID: I20211208001704 |
| Provider Name | Kelsey Schaub |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427593813 PECOS PAC ID: 3274923818 Enrollment ID: I20211214001030 |
| Provider Name | Erik Digby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710201728 PECOS PAC ID: 4789710260 Enrollment ID: I20211223001153 |
| Provider Name | Brian G Hirmiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124788526 PECOS PAC ID: 6103217112 Enrollment ID: I20211230001698 |
| Provider Name | Mariama Jalloh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447918545 PECOS PAC ID: 6507258670 Enrollment ID: I20220121002382 |
| Provider Name | Trent Austin Deakers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558957654 PECOS PAC ID: 9739574153 Enrollment ID: I20220322002886 |
| Provider Name | Robert Joseph King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306590559 PECOS PAC ID: 5496140584 Enrollment ID: I20220329000464 |
| Provider Name | Ulysses Jimenez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477217966 PECOS PAC ID: 9931596038 Enrollment ID: I20220419003044 |
| Provider Name | Rydell Simpauco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316681158 PECOS PAC ID: 9931596368 Enrollment ID: I20220503001765 |
| Provider Name | Ziwei Li |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982289831 PECOS PAC ID: 3476969551 Enrollment ID: I20220509002534 |
| Provider Name | Elsa Torres |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710624986 PECOS PAC ID: 7113305004 Enrollment ID: I20220606001021 |
| Provider Name | Angelika Faith Pel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003550583 PECOS PAC ID: 8820476401 Enrollment ID: I20220610000479 |
| Provider Name | Nicholas Pastier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497418479 PECOS PAC ID: 2163800632 Enrollment ID: I20220613001257 |
| Provider Name | Levi James Renninger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831820554 PECOS PAC ID: 5395125587 Enrollment ID: I20220706000981 |
| Provider Name | Natasha Marquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164154613 PECOS PAC ID: 3870976632 Enrollment ID: I20220811003340 |
| Provider Name | Andrew Deering |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942879994 PECOS PAC ID: 1052715851 Enrollment ID: I20220906000098 |
| Provider Name | Courtney Buschard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295304467 PECOS PAC ID: 5395146252 Enrollment ID: I20220912000678 |
| Provider Name | Whitney Plaster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487375150 PECOS PAC ID: 1658757992 Enrollment ID: I20221010002691 |
| Provider Name | Madeline L Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689329799 PECOS PAC ID: 2961885546 Enrollment ID: I20221012001245 |
| Provider Name | Vasiliki E Hitchcock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164157400 PECOS PAC ID: 6608242243 Enrollment ID: I20221021001925 |
| Provider Name | Erin Michelle Doster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497483168 PECOS PAC ID: 5597131144 Enrollment ID: I20221021002427 |
| Provider Name | Karrie Mcdonough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194000596 PECOS PAC ID: 3173797248 Enrollment ID: I20221103002304 |
| Provider Name | Emily Logan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841667904 PECOS PAC ID: 6800105941 Enrollment ID: I20221118001843 |
| Provider Name | John Christian Holcombe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912622689 PECOS PAC ID: 4183093693 Enrollment ID: I20221205002980 |
| Provider Name | Patrick Miazgowicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942917117 PECOS PAC ID: 0648649830 Enrollment ID: I20221209001964 |
| Provider Name | Delaney Andrews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164194130 PECOS PAC ID: 8729486790 Enrollment ID: I20221221001849 |
| Provider Name | Ryan Herold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457072118 PECOS PAC ID: 2769852367 Enrollment ID: I20221222001717 |
| Provider Name | Daniel Van Huynh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639895832 PECOS PAC ID: 9234509860 Enrollment ID: I20221223000174 |
| Provider Name | Caroline Salam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346890829 PECOS PAC ID: 1254765779 Enrollment ID: I20230103002429 |
| Provider Name | Matthew David Bjork |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184292229 PECOS PAC ID: 0446649602 Enrollment ID: I20230105000219 |
| Provider Name | France Chan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093284051 PECOS PAC ID: 6507100245 Enrollment ID: I20230105000671 |
| Provider Name | Olivia Higby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770041162 PECOS PAC ID: 1951772797 Enrollment ID: I20230113002111 |
| Provider Name | Ella Rose Khan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093484693 PECOS PAC ID: 0941671432 Enrollment ID: I20230119003020 |
| Provider Name | Zachary Summers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093429573 PECOS PAC ID: 2668843152 Enrollment ID: I20230119003068 |
| Provider Name | Joseph David Bradley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538870225 PECOS PAC ID: 7416328901 Enrollment ID: I20230124002611 |
| Provider Name | Luis Gomez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134838121 PECOS PAC ID: 9032581715 Enrollment ID: I20230206001820 |
| Provider Name | Arlyn Olaa Bacallan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376257865 PECOS PAC ID: 3971975434 Enrollment ID: I20230209000368 |
| Provider Name | Megan Shannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174249494 PECOS PAC ID: 5496127938 Enrollment ID: I20230210000520 |
| Provider Name | Tao Bon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336503713 PECOS PAC ID: 4880964196 Enrollment ID: I20230302001802 |
| Provider Name | Janae Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225735277 PECOS PAC ID: 6901270453 Enrollment ID: I20230323001189 |
| Provider Name | Bart Roberts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033500319 PECOS PAC ID: 8325404569 Enrollment ID: I20230515000938 |
| Provider Name | Jinying Wu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659978427 PECOS PAC ID: 5193133569 Enrollment ID: I20230608002447 |
| Provider Name | Roshan Kottayadiyil Varghese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912604083 PECOS PAC ID: 9830556653 Enrollment ID: I20230608002648 |
| Provider Name | Jennelyn Luna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417048406 PECOS PAC ID: 6103100847 Enrollment ID: I20230616001880 |
| Provider Name | Rachel Gagne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265046262 PECOS PAC ID: 6608287131 Enrollment ID: I20230626001695 |
| Provider Name | Eliza Beth Wendt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770279630 PECOS PAC ID: 4789042474 Enrollment ID: I20230628002203 |
| Provider Name | Megan Therese Saigh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265032098 PECOS PAC ID: 4880005263 Enrollment ID: I20230629002592 |
| Provider Name | Wilfredo Nicolas Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457509986 PECOS PAC ID: 1850775388 Enrollment ID: I20230706000920 |
| Provider Name | Michael Ratajac |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992482434 PECOS PAC ID: 3274993530 Enrollment ID: I20230718002282 |
| Provider Name | Ryan Matthew Milano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386382596 PECOS PAC ID: 0244692382 Enrollment ID: I20230822000294 |
| Provider Name | Gabrielle Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447934401 PECOS PAC ID: 8628431145 Enrollment ID: I20230831002436 |
| Provider Name | Nicole Malia Cua |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073290664 PECOS PAC ID: 9133583164 Enrollment ID: I20230911000048 |
| Provider Name | Krista Ross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720731052 PECOS PAC ID: 7517333222 Enrollment ID: I20230911003979 |
| Provider Name | Tracy Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386375558 PECOS PAC ID: 0345621934 Enrollment ID: I20230912000275 |
| Provider Name | Collin Fleecs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730861709 PECOS PAC ID: 3476917196 Enrollment ID: I20230914000780 |
| Provider Name | Paul Chavez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699479055 PECOS PAC ID: 6406221456 Enrollment ID: I20230914003249 |
| Provider Name | Audrey Ang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649952250 PECOS PAC ID: 2668836255 Enrollment ID: I20230914004185 |
| Provider Name | Kendra Wade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518288794 PECOS PAC ID: 4183755382 Enrollment ID: I20230915003064 |
| Provider Name | Maxine Kay Babazadeh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154749562 PECOS PAC ID: 3779937867 Enrollment ID: I20230922002172 |
| Provider Name | Don Ky Hoang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922699115 PECOS PAC ID: 0648624650 Enrollment ID: I20230925003387 |
| Provider Name | Emma Catherine Neckar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912784075 PECOS PAC ID: 8224482013 Enrollment ID: I20230927003631 |
| Provider Name | Abigail Tidwell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023798733 PECOS PAC ID: 6507210275 Enrollment ID: I20230928002929 |
| Provider Name | Nihar Joshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881472827 PECOS PAC ID: 8022463967 Enrollment ID: I20231012000216 |
| Provider Name | Kristina Jamila Shambry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225798135 PECOS PAC ID: 3971995549 Enrollment ID: I20231018001311 |
| Provider Name | Patrick Nguyen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275222663 PECOS PAC ID: 6800242215 Enrollment ID: I20231020002075 |
| Provider Name | Rajul Biniwale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821398892 PECOS PAC ID: 6800052143 Enrollment ID: I20231023001677 |
| Provider Name | Cole Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114590965 PECOS PAC ID: 3072916162 Enrollment ID: I20231024003322 |
| Provider Name | John Stigen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063012904 PECOS PAC ID: 0648679936 Enrollment ID: I20231026003797 |
| Provider Name | Crystal U Ignacio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952343667 PECOS PAC ID: 0143307546 Enrollment ID: I20231109002700 |
| Provider Name | Sierra Michelle Strain |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275306201 PECOS PAC ID: 2961859616 Enrollment ID: I20231117000417 |
| Provider Name | Ivan Ducusin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740052588 PECOS PAC ID: 5890143267 Enrollment ID: I20231122002782 |
| Provider Name | Jordan Rainwater |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184298895 PECOS PAC ID: 6901254390 Enrollment ID: I20231123000146 |
| Provider Name | Gregory Kaganovsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417722737 PECOS PAC ID: 6002264256 Enrollment ID: I20231128002782 |
| Provider Name | Jaiviana James |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427793397 PECOS PAC ID: 9739537523 Enrollment ID: I20231205001919 |
| Provider Name | Taylor Carney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194205286 PECOS PAC ID: 8628312469 Enrollment ID: I20231205003222 |
| Provider Name | Gabriela Castro Ramirez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457126971 PECOS PAC ID: 0244689883 Enrollment ID: I20231208000499 |
| Provider Name | Pauline Tuong Vy Vu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659147957 PECOS PAC ID: 0143679118 Enrollment ID: I20231215002327 |
| Provider Name | Brendan Kihara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699549113 PECOS PAC ID: 4789034406 Enrollment ID: I20231221001037 |
| Provider Name | Gina Kang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891561502 PECOS PAC ID: 2163873696 Enrollment ID: I20240109004579 |
| Provider Name | Stephen Post |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336914522 PECOS PAC ID: 4880045319 Enrollment ID: I20240109004650 |
| Provider Name | Matthew Nguy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962277475 PECOS PAC ID: 7517318975 Enrollment ID: I20240110001372 |
| Provider Name | Richard Kishimoto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588431241 PECOS PAC ID: 3274984588 Enrollment ID: I20240111002003 |
| Provider Name | Jonathon Quang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750158598 PECOS PAC ID: 7012369184 Enrollment ID: I20240115001212 |
| Provider Name | Anna Mccreary |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356983118 PECOS PAC ID: 2062864986 Enrollment ID: I20240116004584 |
| Provider Name | Gavin Palma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255006268 PECOS PAC ID: 2365894151 Enrollment ID: I20240117002353 |
| Provider Name | Sergio Salazar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043089469 PECOS PAC ID: 8426400680 Enrollment ID: I20240123004743 |
| Provider Name | Clare Lund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881317386 PECOS PAC ID: 1153797949 Enrollment ID: I20240130000287 |
| Provider Name | Christy Mcclain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629416425 PECOS PAC ID: 8022396118 Enrollment ID: I20240201004187 |
| Provider Name | Amanda Nicole Gonzalez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902667900 PECOS PAC ID: 5890138887 Enrollment ID: I20240206005001 |
| Provider Name | Maria Ricalton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538809744 PECOS PAC ID: 6406243088 Enrollment ID: I20240213003428 |
| Provider Name | Camille Tang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366213811 PECOS PAC ID: 9830533645 Enrollment ID: I20240220004546 |
| Provider Name | Kerri Shaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558911032 PECOS PAC ID: 3274925854 Enrollment ID: I20240305002062 |
| Provider Name | Brandon L Huberty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578327706 PECOS PAC ID: 0345686721 Enrollment ID: I20240307001878 |
| Provider Name | Kelsey M Hoffman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760040992 PECOS PAC ID: 3274979299 Enrollment ID: I20240313002066 |
| Provider Name | Edwin Ruiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902660772 PECOS PAC ID: 6709222573 Enrollment ID: I20240314003919 |
| Provider Name | Kathryn Justine Delgado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437916053 PECOS PAC ID: 0042656738 Enrollment ID: I20240317000101 |
| Provider Name | Rachael Ramos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982468641 PECOS PAC ID: 8820435308 Enrollment ID: I20240319004099 |
| Provider Name | Givahna Penserga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578320651 PECOS PAC ID: 2062859523 Enrollment ID: I20240320002453 |
| Provider Name | Elizabeth Veilleux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417612482 PECOS PAC ID: 1052700986 Enrollment ID: I20240408000383 |
| Provider Name | Savely Kazmin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962261800 PECOS PAC ID: 0345689048 Enrollment ID: I20240415001073 |
| Provider Name | Jeffrey Don Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962154864 PECOS PAC ID: 0840684924 Enrollment ID: I20240429003244 |
| Provider Name | Dominic Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780438135 PECOS PAC ID: 1557702693 Enrollment ID: I20240507003669 |
| Provider Name | Lanza Attisha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396599874 PECOS PAC ID: 8527400654 Enrollment ID: I20240521003315 |
| Provider Name | Saajan Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457957839 PECOS PAC ID: 2163819657 Enrollment ID: I20240521003361 |
| Provider Name | Andrew Gil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235979683 PECOS PAC ID: 4486198603 Enrollment ID: I20240628002151 |
| Provider Name | James Behnke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194456624 PECOS PAC ID: 1557741345 Enrollment ID: I20240708002263 |
| Provider Name | Maya Sankaran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023850625 PECOS PAC ID: 2769927938 Enrollment ID: I20240711003021 |
| Provider Name | Marlene Zuhl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124026133 PECOS PAC ID: 4082653340 Enrollment ID: I20240722001412 |
| Provider Name | Christine Lluch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053958660 PECOS PAC ID: 0648716845 Enrollment ID: I20240724001911 |
| Provider Name | Nancy Grace Verdun |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992549216 PECOS PAC ID: 1557807591 Enrollment ID: I20240725002824 |
| Provider Name | Sarah Grace Jose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003651142 PECOS PAC ID: 1254878663 Enrollment ID: I20240802002716 |
| Provider Name | Austin Hooker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063182210 PECOS PAC ID: 5698140002 Enrollment ID: I20240806004592 |
| Provider Name | Kaitlyn Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124859822 PECOS PAC ID: 9234678814 Enrollment ID: I20240827002987 |
| Provider Name | Brianna Baldwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063244671 PECOS PAC ID: 2062951569 Enrollment ID: I20240828003419 |
| Provider Name | Cameron Tadayon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699507145 PECOS PAC ID: 7315486792 Enrollment ID: I20240829001325 |
| Provider Name | Grace Catherine Hooper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275363616 PECOS PAC ID: 2860932001 Enrollment ID: I20240913002705 |
| Provider Name | Michael Aspiotes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720841216 PECOS PAC ID: 2163865544 Enrollment ID: I20240917003752 |
| Provider Name | Meredith Branch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780416826 PECOS PAC ID: 3971044769 Enrollment ID: I20240919003696 |
| Provider Name | Cassadie F Gearhart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083440572 PECOS PAC ID: 6901347624 Enrollment ID: I20240923000557 |
| Provider Name | Heather Marie Nitschke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851127179 PECOS PAC ID: 6002357696 Enrollment ID: I20240923003596 |
| Provider Name | Kaitlyn Joan Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790517035 PECOS PAC ID: 7719428002 Enrollment ID: I20240926002964 |
| Provider Name | Megan Mccreesh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861967101 PECOS PAC ID: 5799039939 Enrollment ID: I20240927001787 |
| Provider Name | Julia Glisson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013792175 PECOS PAC ID: 3072977701 Enrollment ID: I20241008001631 |
| Provider Name | Monika Estrada Cordon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376361162 PECOS PAC ID: 3779014212 Enrollment ID: I20241008001781 |
| Provider Name | Troy Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528777349 PECOS PAC ID: 9133597974 Enrollment ID: I20241008003319 |
| Provider Name | Yan Zheng |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053970814 PECOS PAC ID: 6608104385 Enrollment ID: I20241009001185 |
| Provider Name | Emily Tran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487488474 PECOS PAC ID: 4981135779 Enrollment ID: I20241009002275 |
| Provider Name | Brenda Darlin Urbina |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942020342 PECOS PAC ID: 0244763738 Enrollment ID: I20241022004506 |
| Provider Name | Jared Houser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912605726 PECOS PAC ID: 8123487881 Enrollment ID: I20241023001152 |
| Provider Name | Marcin Stygar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841643822 PECOS PAC ID: 9234425174 Enrollment ID: I20241030001544 |
| Provider Name | Arl Justine Magundayao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952125130 PECOS PAC ID: 9335675636 Enrollment ID: I20241210003632 |
| Mailing Address | Practice Location Address |
|---|---|
| Mdrs Spine & Sport, Inc Po Box 515746, Los Angeles, CA 90051-5120 Ph: (888) 208-8526 | Mdrs Spine & Sport, Inc 3707 Convoy St Ste 100, San Diego, CA 92111-3754 Ph: (858) 573-9368 |
Carmen L Luk, DPT Physical Therapist Medicare: Not Enrolled in Medicare 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 |