Elijah Jerae Bishop Iii, PT MPT OCS | |
79440 Corporate Center Dr Ste 112, La Quinta, CA 92253-7243 | |
(760) 771-9054 | |
(760) 771-9057 |
Full Name | Elijah Jerae Bishop Iii |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 79440 Corporate Center Dr Ste 112, La Quinta, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710902051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT28284 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mdrs Spine And Sport Inc | 3274446687 | 128 |
Provider Name | Mdrs Spine & Sport Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
Provider Name | All Star Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1750559431 PECOS PAC ID: 7719030949 Enrollment ID: O20090812000451 |
Mailing Address | Practice Location Address |
---|---|
Elijah Jerae Bishop Iii, PT MPT OCS 49065 Serenata Ct, La Quinta, CA 92253-2413 Ph: (818) 731-0317 | Elijah Jerae Bishop Iii, PT MPT OCS 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253-7243 Ph: (760) 771-9054 |
Sasha Scofield, Physical Therapist Medicare: Medicare Enrolled Practice Location: 78593 San Marino Ct, La Quinta, CA 92253 Phone: 760-408-7481 | |
Ms. Ma Cherryl Ancheta, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45360 Desert Fox Dr, La Quinta, CA 92253 Phone: 760-610-2533 Fax: 760-610-2533 | |
Perry Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 44025 Jefferson St, Suite 104, La Quinta, CA 92253 Phone: 760-345-5453 Fax: 760-345-7063 | |
Lindsey Dileonardo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45280 Seeley Dr, La Quinta, CA 92253 Phone: 760-610-7200 | |
Prn-california Rehabilitation & Sports Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 79440 Corporate Center Dr, #112, La Quinta, CA 92253 Phone: 760-777-9701 Fax: 760-777-9727 | |
Mildred Jean Reul, RPT,MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 57616 Interlachen, La Quinta, CA 92253 Phone: 760-219-3312 | |
Cory Joseph Berkeley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 79440 Corporate Center Dr, Ste 112, La Quinta, CA 92253 Phone: 760-771-4484 Fax: 760-771-4485 |