| Moscardi Physical Therapy, Inc | |
|
911 Oak Park Blvd Ste 105, Pismo Beach, CA 93449-3406 | |
| (805) 481-8272 | |
| (805) 481-8045 |
| Full Name | Moscardi Physical Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 911 Oak Park Blvd Ste 105, Pismo Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770650301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT28238 (California) | Primary |
| Provider Name | Louis D Moscardi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417972977 PECOS PAC ID: 1153309364 Enrollment ID: I20040713000428 |
| Provider Name | Sarah J Stahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699494161 PECOS PAC ID: 3173909462 Enrollment ID: I20221011001323 |
| Mailing Address | Practice Location Address |
|---|---|
| Moscardi Physical Therapy, Inc 911 Oak Park Blvd Ste 105, Pismo Beach, CA 93449-3406 Ph: (805) 481-8272 | Moscardi Physical Therapy, Inc 911 Oak Park Blvd Ste 105, Pismo Beach, CA 93449-3406 Ph: (805) 481-8272 |
Andrew Rodriguez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Oak Park Blvd Ste 102, Pismo Beach, CA 93449 Phone: 805-481-8272 | |
Charles Alden Barstow Jr., MPT,OCS, COMT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 271 Five Cities Dr, Pismo Beach, CA 93449 Phone: 805-473-7499 Fax: 805-473-7494 | |
Joanne Marie Hatcher, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 271 Five Cities Dr, Pismo Beach, CA 93449 Phone: 805-473-7499 Fax: 805-473-7494 | |
Genene Lara, Physical Therapist Medicare: Medicare Enrolled Practice Location: 271 Five Cities Dr, Pismo Beach, CA 93449 Phone: 805-473-7499 | |
Louis Dominic Moscardi, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 911 Oak Park Blvd Ste 105, Pismo Beach, CA 93449 Phone: 805-481-8272 Fax: 805-481-8045 | |
Donald Lee Zimmerman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Five Cities Dr Spc 56, Pismo Beach, CA 93449 Phone: 805-773-2405 | |
Paul Lyle Manosar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 Oak Park Blvd, Suite 102, Pismo Beach, CA 93449 Phone: 805-481-8272 Fax: 805-481-8045 |