Mountainside Mobile Physical Therapy Inc is a medicare enrolled "Physical Therapist" provider in Oakley, California. Their current practice location is
114 Granite Way, Oakley, California. You can reach out to their office (for appointments etc.) via phone at
(925) 233-5522.
Mountainside Mobile Physical Therapy Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mountainside Mobile Physical Therapy Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215702980.
Healthcare Provider's Profile
Full Name | Mountainside Mobile Physical Therapy Inc |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 114 Granite Way, Oakley, California |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215702980
- Provider Enumeration Date: 11/22/2023
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890237648
- Enrollment ID: O20240607000900
Medical Identifiers
Medical identifiers for Mountainside Mobile Physical Therapy Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215702980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mountainside Mobile Physical Therapy Inc acts as a billing entity for following providers:
Provider Name | Thisbe Coleman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1013363647 PECOS PAC ID: 6709328552 Enrollment ID: I20240607001156 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mountainside Mobile Physical Therapy Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mountainside Mobile Physical Therapy Inc 400 Del Antico Ave #1315, Oakley, CA 94561 Ph: () - | Mountainside Mobile Physical Therapy Inc 114 Granite Way, Oakley, CA 94561-6049 Ph: (925) 233-5522 |
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