Movement Specialists Pt | |
853 W 17th St Ste A, Costa Mesa, CA 92627-4364 | |
(657) 600-8320 | |
(657) 600-8318 |
Full Name | Movement Specialists Pt |
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Type | Facility |
Speciality | Physical Therapist |
Location | 853 W 17th St Ste A, Costa Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225440571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 34847 (California) | Primary |
Provider Name | Su Wang |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699924894 PECOS PAC ID: 9234328576 Enrollment ID: I20110118000858 |
Mailing Address | Practice Location Address |
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Movement Specialists Pt Po Box 674, Huntington Beach, CA 92648-0674 Ph: () - | Movement Specialists Pt 853 W 17th St Ste A, Costa Mesa, CA 92627-4364 Ph: (657) 600-8320 |
Ms. Elizabeth M Byrne, M.P.T.,A.T.C. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Adams Ave, Suite 201, Costa Mesa, CA 92626 Phone: 714-556-1600 Fax: 714-556-3737 | |
Caroline A Teets, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1112 Fax: 949-250-1404 | |
Mr. Kurt Justin Nofziger, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2651 Irvine Ave, Suite 128, Costa Mesa, CA 92627 Phone: 949-722-8811 Fax: 949-722-9911 | |
Mr. Johnathan Loquasto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 Harbor Blvd Ste F5, Costa Mesa, CA 92626 Phone: 714-540-6792 Fax: 714-540-6794 | |
Kevin Castillo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1122 | |
Haining Su, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1640 Newport Blvd Ste 260, Costa Mesa, CA 92627 Phone: 949-335-7967 | |
Mrs. Michele Leann Elvander, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3124 Taft Way, Costa Mesa, CA 92626 Phone: 562-397-4871 |