Mr John Jack Nelson, PT | |
700 Oak Avenue Pkwy, Ste B, Folsom, CA 95630-6871 | |
(916) 932-1210 | |
(916) 932-1205 |
Full Name | Mr John Jack Nelson |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 700 Oak Avenue Pkwy, Folsom, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477549772 | NPI | - | NPPES |
ZZZ04666Z | Other | CA | GROUP BLUE SHIELD ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT23841 (California) | Primary |
Provider Name | Campus Commons Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992787477 PECOS PAC ID: 2668377060 Enrollment ID: O20090414000301 |
Mailing Address | Practice Location Address |
---|---|
Mr John Jack Nelson, PT Po Box 2710, Granite Bay, CA 95746-2710 Ph: (916) 932-1210 | Mr John Jack Nelson, PT 700 Oak Avenue Pkwy, Ste B, Folsom, CA 95630-6871 Ph: (916) 932-1210 |
Mrs. Michele Elaine Downs, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 990 Riley St, Folsom, CA 95630 Phone: 916-355-1250 Fax: 916-933-0871 | |
Mr. Matthew Alan Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1635 Creekside Dr, Suite 101, Folsom, CA 95630 Phone: 916-983-5611 Fax: 916-983-5615 | |
Kari Marie Giampaoli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 E Bidwell St, 201, Folsom, CA 95630 Phone: 916-983-5915 Fax: 916-983-5925 | |
Jake Vicera, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 E Bidwell St, Ste. 201, Folsom, CA 95630 Phone: 916-983-5915 | |
Jacob Calkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Iron Point Cir Ste 100, Folsom, CA 95630 Phone: 916-836-1111 | |
Mr. William J. Garcia, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 Natoma Street, Folsom, CA 95630 Phone: 916-355-8500 Fax: 530-887-8112 | |
Collins Wong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14881 Auburn Summit Dr, Folsom, CA 95630 Phone: 408-515-5530 |