Mr Mark Sansone, RPT | |
3084 Cedar Ravine Rd, Placerville, CA 95667-5617 | |
(530) 621-2773 | |
(530) 621-3202 |
Full Name | Mr Mark Sansone |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3084 Cedar Ravine Rd, Placerville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225008386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 13745 (California) | Primary |
Provider Name | Table Mountain Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932365897 PECOS PAC ID: 6002972502 Enrollment ID: O20090309000361 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Sansone, RPT 104 Clemsford Sq, Folsom, CA 95630-6787 Ph: (916) 983-4713 | Mr Mark Sansone, RPT 3084 Cedar Ravine Rd, Placerville, CA 95667-5617 Ph: (530) 621-2773 |
Chet R Yoder, MPT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5798 Hollyberry Ln, Placerville, CA 95667 Phone: 209-273-9844 | |
Malini Parthasarathi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1252 Broadway Ste B, Placerville, CA 95667 Phone: 530-622-9410 Fax: 530-622-9445 | |
Mr. Ronald Eugene Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4300 Golden Center Dr, Suite B, Placerville, CA 95667 Phone: 530-344-2045 Fax: 530-642-0794 | |
Dr. Anna Galloway, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1252 Broadway, Suite B, Placerville, CA 95667 Phone: 530-622-9410 | |
Mahshid Chehrehrazi, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1252 Broadway Ste B, Placerville, CA 95667 Phone: 530-622-9410 | |
Jennifer Marie Joy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4301 Golden Center Dr, Placerville, CA 95667 Phone: 530-621-1100 Fax: 530-621-1104 | |
Jason Hubbart, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1252 Broadway Ste B, Placerville, CA 95667 Phone: 530-622-9410 |