| Misi Physical Therapy, Pc | |
|
555 N Nash St, El Segundo, CA 90245-2818 | |
| (310) 386-6788 | |
| Not Available |
| Full Name | Misi Physical Therapy, Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 555 N Nash St, El Segundo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629784848 | NPI | - | NPPES |
| 26571 | Other | CA | CA PHYSICAL THERAPY BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jaclyn Kay Nash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962955518 PECOS PAC ID: 7214224385 Enrollment ID: I20160919000715 |
| Provider Name | Alexandra Rimmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710401815 PECOS PAC ID: 3476826116 Enrollment ID: I20170831002369 |
| Provider Name | Brett Ballesteros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396370177 PECOS PAC ID: 9032540679 Enrollment ID: I20200514000749 |
| Provider Name | Mihal Lakhovsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164034476 PECOS PAC ID: 4486072600 Enrollment ID: I20200918002382 |
| Provider Name | Robert Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649672411 PECOS PAC ID: 1850512427 Enrollment ID: I20201013000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Misi Physical Therapy, Pc 1084 N El Camino Real # B-351, Encinitas, CA 92024-1334 Ph: (310) 386-6788 | Misi Physical Therapy, Pc 555 N Nash St, El Segundo, CA 90245-2818 Ph: (310) 386-6788 |
Christopher P Derosa, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Main St, El Segundo, CA 90245 Phone: 310-648-3167 | |
Ashley Smith, PT, DPT, CCRT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Pacific Coast Hwy Ste 1000, El Segundo, CA 90245 Phone: 310-640-9911 | |
Mr. Alex M Youssefian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd, Suite 2060, El Segundo, CA 90245 Phone: 626-394-1575 | |
Shelby Plummer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 N Nash St Ste 306, El Segundo, CA 90245 Phone: 310-535-0008 | |
Elizabeth Glozman, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572 | |
Ms. Kimberlee Bickerton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Sierra St, El Segundo, CA 90245 Phone: 310-426-9406 | |
Tag Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572 |