| Physical Edge, Inc. | |
|
1460 Drew Avenue, Suite 200, Davis, CA 95618 | |
| (530) 753-9011 | |
| Not Available |
| Full Name | Physical Edge, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1460 Drew Avenue, Suite 200, Davis, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770675639 | NPI | - | NPPES |
| Provider Name | Peter Cole Horton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801979844 PECOS PAC ID: 5496778334 Enrollment ID: I20060106000287 |
| Provider Name | Nicole E Nosek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679678742 PECOS PAC ID: 3375646979 Enrollment ID: I20070320000636 |
| Provider Name | Mathew W W Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295825644 PECOS PAC ID: 0941263032 Enrollment ID: I20090721000547 |
| Provider Name | Toshio S Leeper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689017725 PECOS PAC ID: 5294972089 Enrollment ID: I20130515000457 |
| Provider Name | Ursula Barragan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255723383 PECOS PAC ID: 9931420106 Enrollment ID: I20150601001237 |
| Provider Name | Daniel S Lebe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508379256 PECOS PAC ID: 5294093126 Enrollment ID: I20171221002095 |
| Provider Name | Anneliese I Trapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174170328 PECOS PAC ID: 0244562361 Enrollment ID: I20191022003912 |
| Provider Name | Kai Wang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366964165 PECOS PAC ID: 8123417342 Enrollment ID: I20211109003145 |
| Provider Name | Kaitlin Michelle Silva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891340014 PECOS PAC ID: 0840520052 Enrollment ID: I20220311001826 |
| Provider Name | Jeffrey Gary Wang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194434118 PECOS PAC ID: 0840661971 Enrollment ID: I20230127000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Edge, Inc. 1460 Drew Avenue, Suite 200, Davis, CA 95618 Ph: () - | Physical Edge, Inc. 1460 Drew Avenue, Suite 200, Davis, CA 95618 Ph: (530) 753-9011 |
Audrey Mott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lyndell Ter Ste 200, Davis, CA 95616 Phone: 530-758-2222 | |
Alyssa Borchert, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1500 Shasta Dr Apt 135, Davis, CA 95616 Phone: 808-292-1051 | |
Daniel Martin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3002 Ponteverde Ln, Davis, CA 95618 Phone: 530-758-1508 Fax: 530-758-1508 | |
Jolie Gonzalez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lyndell Ter, Suite 200, Davis, CA 95616 Phone: 530-758-2222 | |
Dr. Leigh Quill, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609 | |
Jennifer Ferguson Rhoads, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609 | |
Edward T. Barakatt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609 |