Mr Gino John Brunello, PT | |
2530 Professional Pkwy, Santa Maria, CA 93455-1602 | |
(805) 928-4465 | |
(805) 928-7935 |
Full Name | Mr Gino John Brunello |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 36 Years |
Location | 2530 Professional Pkwy, Santa Maria, 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 |
---|---|---|---|
1063579910 | NPI | - | NPPES |
PT0163710 | Medicaid | CA | |
OPT163710 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT16371 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stephenville Sports Rehab And Physical Therapy Llc | 8123295706 | 15 |
Provider Name | Stephenville Sports Rehab & Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1932291697 PECOS PAC ID: 8123295706 Enrollment ID: O20220218000371 |
Provider Name | Brunello Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023878089 PECOS PAC ID: 6305285701 Enrollment ID: O20240418000967 |
Mailing Address | Practice Location Address |
---|---|
Mr Gino John Brunello, PT 2530 Professional Pkwy, Santa Maria, CA 93455-1602 Ph: (805) 928-4465 | Mr Gino John Brunello, PT 2530 Professional Pkwy, Santa Maria, CA 93455-1602 Ph: (805) 928-4465 |
Dr. Ernesto Josue Vega, PT,DPT,CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 526 San Diego St, Santa Maria, CA 93455 Phone: 805-867-3110 | |
Staci Lynn-sargent Mc Lean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015b S Broadway, Santa Maria, CA 93454 Phone: 805-440-9318 Fax: 805-938-5390 | |
Dallan Noel Rigby, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 N Miller St, Santa Maria, CA 93454 Phone: 805-739-2518 | |
Quentin Doug Sims Iii, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935 | |
Alexis Emmanuel Camacho Zarate, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N College Dr Ste 203, Santa Maria, CA 93454 Phone: 805-922-1724 | |
Tanya Conley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4869 S Bradley Rd, 114, Santa Maria, CA 93455 Phone: 805-938-5320 Fax: 805-938-5390 |