Mr Jared Spencer Vagy, PT | |
719 Santa Monica Blvd, Santa Monica, CA 90401-2601 | |
(310) 260-9039 | |
Not Available |
Full Name | Mr Jared Spencer Vagy |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 719 Santa Monica Blvd, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003048174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 35837 (California) | Primary |
Provider Name | Sportsfit Physical Therapy Corporation |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1558615492 PECOS PAC ID: 9739331109 Enrollment ID: O20121226000009 |
Mailing Address | Practice Location Address |
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Mr Jared Spencer Vagy, PT 632 N Catalina St, Burbank, CA 91505-3245 Ph: (503) 453-0746 | Mr Jared Spencer Vagy, PT 719 Santa Monica Blvd, Santa Monica, CA 90401-2601 Ph: (310) 260-9039 |
Rebecca Marie Pitts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2010 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-878-2540 | |
Eleanor Bachman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 20th St Apt 4, Santa Monica, CA 90404 Phone: 917-755-8910 | |
Lori Jean Mccarty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Wilshire Blvd, Santa Monica, CA 90401 Phone: 310-656-8600 Fax: 310-656-8606 | |
Caitlin E Berry, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 | |
Michael Allan Andersen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 | |
Adrienne Telemaque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 |