Mrs Nicole Stacy Blacher, PT | |
11777 Sorrento Valley Rd, San Diego, CA 92121-1084 | |
(858) 967-7701 | |
Not Available |
Full Name | Mrs Nicole Stacy Blacher |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 34 Years |
Location | 11777 Sorrento Valley Rd, San Diego, 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 |
---|---|---|---|
1265602601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 18069 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Institute For Specialized Medicine Inc | 1254401375 | 2 |
Provider Name | Institute For Specialized Medicine Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881870566 PECOS PAC ID: 1254401375 Enrollment ID: O20080602000490 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Stacy Blacher, PT 4653 Carmel Mountain Rd, Ste 308-145, San Diego, CA 92130-6650 Ph: (858) 967-7701 | Mrs Nicole Stacy Blacher, PT 11777 Sorrento Valley Rd, San Diego, CA 92121-1084 Ph: (858) 967-7701 |
Carmen L Luk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 Phone: 760-209-4868 | |
Emily Richard, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3115 Ocean Front Walk, San Diego, CA 92109 Phone: 858-488-3597 Fax: 858-746-4041 | |
Dr. Alona Mary Yacobovsky, DPT, CWS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8555 Station Village Ln Apt 3217, San Diego, CA 92108 Phone: 702-525-9299 | |
Sean S Mcintire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121 Phone: 858-587-8669 Fax: 858-587-8675 | |
Elena Hapke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4094 4th Ave, San Diego, CA 92103 Phone: 619-515-2545 | |
Jon Garrelts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189 | |
Dobromira Andreeva Arsova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6977 Navajo Rd # 445, San Diego, CA 92119 Phone: 858-848-9917 Fax: 858-987-8653 |