| Optimissport Pt | |
|
910 Via De La Paz Ste 101, Pacific Palisades, CA 90272-3538 | |
| (310) 573-9340 | |
| (310) 573-9328 |
| Full Name | Optimissport Pt |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 910 Via De La Paz Ste 101, Pacific Palisades, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417242454 | NPI | - | NPPES |
| ZZZ68108Y | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Optimissport Pt 600 Central Ave Ste C, Lake Elsinore, CA 92530-2740 Ph: (951) 696-9353 | Optimissport Pt 910 Via De La Paz Ste 101, Pacific Palisades, CA 90272-3538 Ph: (310) 573-9340 |
Mr. David J Kramer, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16838 Calle De Sarah, Pacific Palisades, CA 90272 Phone: 310-903-3100 Fax: 818-474-0044 | |
Joseph John Godges, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15200 W Sunset Blvd, Suite 111, Pacific Palisades, CA 90272 Phone: 310-573-9340 Fax: 310-573-9328 | |
Ann M Marraccini, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 860 Via De La Paz, Suite B1, Pacific Palisades, CA 90272 Phone: 310-573-9553 Fax: 310-573-9533 | |
The Cypress Center, A Physical Therapy Corporation Physical Therapist Medicare: Medicare Enrolled Practice Location: 860 Via De La Paz, Suite B1, Pacific Palisades, CA 90272 Phone: 310-573-9553 Fax: 310-573-9533 | |
Michelle Schrader, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 861 Via De La Paz Ste F, Pacific Palisades, CA 90272 Phone: 999-999-9999 | |
Mrs. Gena Sloane Pruetz, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 970 Monument St, Suite 207, Pacific Palisades, CA 90272 Phone: 310-573-9553 Fax: 310-573-9533 | |
Ms. Bernadette Catherine Mcdonnell, PT, LCCE Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 840 Haverford Ave, #7, Pacific Palisades, CA 90272 Phone: 323-464-4458 |