Modern Movement Physical Therapy Inc. | |
630 Idaho Ave Apt 107, Santa Monica, CA 90403-2711 | |
(760) 637-9717 | |
Not Available |
Full Name | Modern Movement Physical Therapy Inc. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 630 Idaho Ave Apt 107, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548932882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Alex Cascone |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457888323 PECOS PAC ID: 8527332931 Enrollment ID: I20170925001164 |
Mailing Address | Practice Location Address |
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Modern Movement Physical Therapy Inc. 630 Idaho Ave Apt 107, Santa Monica, CA 90403-2711 Ph: (760) 637-9717 | Modern Movement Physical Therapy Inc. 630 Idaho Ave Apt 107, Santa Monica, CA 90403-2711 Ph: (760) 637-9717 |
Mr. Jared Spencer Vagy, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 | |
Rebecca Marie Pitts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2010 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-878-2540 | |
Eleanor Bachman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 20th St Apt 4, Santa Monica, CA 90404 Phone: 917-755-8910 | |
Lori Jean Mccarty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Wilshire Blvd, Santa Monica, CA 90401 Phone: 310-656-8600 Fax: 310-656-8606 | |
Caitlin E Berry, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 | |
Michael Allan Andersen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 | |
Adrienne Telemaque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 |