Mr Mark Dejong, PT | |
1041 N Main St Ste A, Manteca, CA 95336-3988 | |
(209) 824-9888 | |
(209) 824-9469 |
Full Name | Mr Mark Dejong |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 1041 N Main St Ste A, Manteca, 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 |
---|---|---|---|
1043335607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT33493 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Motus Physical Therapy And Performance Inc. | 6204175706 | 2 |
Provider Name | Motus Physical Therapy And Performance Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801384680 PECOS PAC ID: 6204175706 Enrollment ID: O20190227002791 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Dejong, PT 220 Standiford Ave, Ste F, Modesto, CA 95350-1159 Ph: (209) 579-5628 | Mr Mark Dejong, PT 1041 N Main St Ste A, Manteca, CA 95336-3988 Ph: (209) 824-9888 |
Victoria Fara Leah Diaz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2531 Edgebrook Ln, Manteca, CA 95336 Phone: 646-270-1537 | |
April Diamond Witherspoon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 965 E Yosemite Ave, Manteca, CA 95336 Phone: 843-356-2790 | |
Roger Cabo Inciong, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3652 Rapallo Way, Manteca, CA 95337 Phone: 408-656-9834 | |
Kaitlin White, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1519 W Yosemite Ave, Manteca, CA 95337 Phone: 239-784-9354 | |
Kevin Patrick Bergman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1019 S Main St, Manteca, CA 95337 Phone: 209-624-1002 Fax: 209-222-6182 | |
Mr. Bonhoeffer Estrella, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Eastwood Ave, Manteca, CA 95336 Phone: 209-239-1222 |