| Mrs Danielle Theone Wiswall, MPT | |
|
177 Vulcan Dr, Lompoc, CA 93436 | |
| (805) 733-7500 | |
| (805) 733-7510 |
| Full Name | Mrs Danielle Theone Wiswall |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 25 Years |
| Location | 177 Vulcan Dr, Lompoc, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215911235 | NPI | - | NPPES |
| PT0261360 | Other | CA | SBHI |
| PT0261360 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT26136 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Focus Physical Therapy, Incorporated | 8820280126 | 3 |
| Provider Name | Focus Physical Therapy, Incorporated |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891014510 PECOS PAC ID: 8820280126 Enrollment ID: O20101005000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Danielle Theone Wiswall, MPT 177 Vulcan Dr, Lompoc, CA 93436 Ph: (805) 733-7500 | Mrs Danielle Theone Wiswall, MPT 177 Vulcan Dr, Lompoc, CA 93436 Ph: (805) 733-7500 |
Jeremy Mitchell, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 | |
Juanita L. Carnahan, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 Fax: 805-736-6392 | |
Carnahan Therapy/the Work Center, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 Fax: 805-736-6392 | |
Kaylee Jarvis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N H St, Lompoc, CA 93436 Phone: 805-737-8700 | |
Andrew Robert Marrs, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 | |
Timothy A. Marozick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N H St, Lompoc, CA 93436 Phone: 805-681-1761 Fax: 805-681-1768 | |
Meaghan O'leary, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 |