Mimie Pak Shin, MPT | |
21 Upper Ragsdale Dr, Suite #125, Monterey, CA 93940-7831 | |
(831) 372-2963 | |
(831) 656-9179 |
Full Name | Mimie Pak Shin |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 21 Upper Ragsdale Dr, Monterey, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083777627 | NPI | - | NPPES |
P00362453 | Other | CA | MC RAILROAD PIN |
0PT25270 | Other | CA | BLUE SHIELD PIN NUMBER |
PT25275 | Other | CA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT25275 (California) | Primary |
Provider Name | Ryan Ranch Physical Therapy Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699792374 PECOS PAC ID: 7911948328 Enrollment ID: O20050517000467 |
Mailing Address | Practice Location Address |
---|---|
Mimie Pak Shin, MPT 25580 Via Cazador, Carmel, CA 93923-8406 Ph: (831) 682-5014 | Mimie Pak Shin, MPT 21 Upper Ragsdale Dr, Suite #125, Monterey, CA 93940-7831 Ph: (831) 372-2963 |
Janine Michelle Boyer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 60 Garden Ct, Suite 140, Monterey, CA 93940 Phone: 831-324-4630 Fax: 831-324-4709 | |
Logan Elizabeth Bruce Adlum, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Lower Ragsdale Dr, Monterey, CA 93940 Phone: 831-264-6040 | |
Cannon Leigh Hanebuth, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 Lower Ragsdale Dr, Monterey, CA 93940 Phone: 831-264-6040 | |
Romel Posada, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 576 Hartnell St, Suite 200, Monterey, CA 93940 Phone: 831-655-5380 Fax: 831-655-8129 | |
Kadalyst Wellness And Physical Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 191 Lighthouse Ave Ste B, Monterey, CA 93940 Phone: 831-531-7177 Fax: 831-515-8679 | |
Therese Ruffin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 980 Cass St, Suite A, Monterey, CA 93940 Phone: 831-375-2466 Fax: 831-375-0450 | |
Sarah Kelly Cerami, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Upper Ragsdale Dr, Monterey, CA 93940 Phone: 831-264-6040 |