Mr Michael Jan Nieraeth, PT | |
1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | |
(626) 851-2233 | |
Not Available |
Full Name | Mr Michael Jan Nieraeth |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 1011 Baldwin Park Blvd, Baldwin Park, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295166882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evolution Physical Therapy Inc | 0244336964 | 47 |
Provider Name | Evolution Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174601116 PECOS PAC ID: 0244336964 Enrollment ID: O20070426000134 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Jan Nieraeth, PT 1011 Baldwin Park Blvd, Suite 225, Baldwin Park, CA 91706-5806 Ph: () - | Mr Michael Jan Nieraeth, PT 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-2233 |
Robert Y Iwasaki, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 833-574-2273 | |
Jeffrey Chen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Dr. Patrick Mcginnis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Mrs. Nisha R Damani, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-5580 | |
Marie P Aquino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-5545 | |
Sarah Reynolds, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-6697 Fax: 626-851-5025 | |
Nevin Poolpuong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 800-464-4000 |