Mr Jason E Mattox, MPT | |
5 Bon Air Rd, Suite 129, Larkspur, CA 94939-1143 | |
(415) 924-8900 | |
(415) 924-7149 |
Full Name | Mr Jason E Mattox |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5 Bon Air Rd, Larkspur, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417995606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT22435 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mr Jason E Mattox, MPT 5 Bon Air Rd, Suite 129, Larkspur, CA 94939-1143 Ph: (415) 924-8900 | Mr Jason E Mattox, MPT 5 Bon Air Rd, Suite 129, Larkspur, CA 94939-1143 Ph: (415) 924-8900 |
Chris Kane, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Bon Air Rd, Larkspur, CA 94939 Phone: 415-924-8900 | |
Mrs. Jennifer Lynn Sisson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 E Sir Francis Drake Blvd, Larkspur, CA 94939 Phone: 415-927-2273 | |
Dr. Jason Chit Lum Yu, PT,DPT,OMT,ATC,CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Bon Air Rd, Ste A - 105, Larkspur, CA 94939 Phone: 415-927-2007 Fax: 415-927-7272 | |
Alexander Gregory Frost, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Bon Air Rd Ste 120, Larkspur, CA 94939 Phone: 415-927-5300 | |
Frank Peronetto, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2801 Larkspur Landing Cir, Larkspur, CA 94939 Phone: 415-461-8233 | |
Frederike Haeusserman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2801 Larkspur Landing Cir, Larkspur, CA 94939 Phone: 415-461-8233 Fax: 415-461-6412 | |
Ms. Shanna Lee Bhasin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Bon Air Rd, Suite A-105, Larkspur, CA 94939 Phone: 415-927-2007 Fax: 415-927-7272 |