| Peninsula Sports Medicine And Rehabilitation Center | |
|
2945 Junipero Serra Blvd, Daly City, CA 94014-2549 | |
| (650) 755-8830 | |
| (650) 755-8147 |
| Full Name | Peninsula Sports Medicine And Rehabilitation Center |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2945 Junipero Serra Blvd, Daly City, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871666974 | NPI | - | NPPES |
| GZ817A | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Sueanna S Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548204522 PECOS PAC ID: 8325008527 Enrollment ID: I20041012001495 |
| Provider Name | Kim S Mclennan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982648028 PECOS PAC ID: 6406828110 Enrollment ID: I20041012001565 |
| Provider Name | Susan Sullivan Rauenbuehler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821032806 PECOS PAC ID: 3072575919 Enrollment ID: I20041102000758 |
| Provider Name | Marie C Morales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679669758 PECOS PAC ID: 9739284647 Enrollment ID: I20070423000277 |
| Provider Name | Laura Hutto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902197346 PECOS PAC ID: 0345415899 Enrollment ID: I20111212000204 |
| Provider Name | Anne M Courter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417122250 PECOS PAC ID: 8426296971 Enrollment ID: I20130523000255 |
| Provider Name | Sue M Yap |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972033314 PECOS PAC ID: 0345512653 Enrollment ID: I20170822001873 |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Sports Medicine And Rehabilitation Center 2945 Junipero Serra Blvd, Daly City, CA 94014-2549 Ph: (650) 755-8830 | Peninsula Sports Medicine And Rehabilitation Center 2945 Junipero Serra Blvd, Daly City, CA 94014-2549 Ph: (650) 755-8830 |
Saliba Peter Habash, Physical Therapist Medicare: Medicare Enrolled Practice Location: 165 Pierce St, Daly City, CA 94015 Phone: 650-515-0986 | |
Alika Kaili Kuamoo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Bromley Court, Daly City, CA 94015 Phone: 650-878-8239 | |
Mr. Luis E Araneda, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 901 Campus Drive Ste 213, Daly City, CA 94015 Phone: 650-994-7800 Fax: 650-994-2271 | |
Mr. Thomas Mcdade, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 171 School St, Daly City, CA 94014 Phone: 650-756-3740 Fax: 650-756-3890 | |
Mrs. Dorie Paniza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 171a School St., Daly City, CA 94014 Phone: 650-756-3740 Fax: 650-756-3890 | |
Tara Mcgann Friedman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2945 Junipero Serra Blvd, Daly City, CA 94014 Phone: 650-755-8830 Fax: 650-755-8147 | |
Emily R Rodgers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1850 Sullivan Ave, Suite 330, Daly City, CA 94015 Phone: 650-756-5630 Fax: 650-756-1964 |