| Physical Therapyworks Inc. | |
|
719 Santa Monica Blvd, Santa Monica, CA 90401-2601 | |
| (310) 260-9039 | |
| (310) 260-1091 |
| Full Name | Physical Therapyworks Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 719 Santa Monica Blvd, Santa Monica, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780653626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (California) | Primary |
| Provider Name | John P Dravillas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386613750 PECOS PAC ID: 2668469016 Enrollment ID: I20080506000278 |
| Provider Name | Carole Ann Gong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174134241 PECOS PAC ID: 4587074653 Enrollment ID: I20201030000237 |
| Provider Name | Justin Tong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821666470 PECOS PAC ID: 9638572373 Enrollment ID: I20210719003325 |
| Provider Name | Joseph Abdulmasih |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538893086 PECOS PAC ID: 4688041296 Enrollment ID: I20221110000234 |
| Provider Name | Shant Alexander Minassian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063285179 PECOS PAC ID: 4688022403 Enrollment ID: I20231204002993 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapyworks Inc. 719 Santa Monica Blvd, Santa Monica, CA 90401-2601 Ph: () - | Physical Therapyworks Inc. 719 Santa Monica Blvd, Santa Monica, CA 90401-2601 Ph: (310) 260-9039 |
Mr. Jared Spencer Vagy, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 | |
Rebecca Marie Pitts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2010 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-878-2540 | |
Eleanor Bachman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 20th St Apt 4, Santa Monica, CA 90404 Phone: 917-755-8910 | |
Lori Jean Mccarty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Wilshire Blvd, Santa Monica, CA 90401 Phone: 310-656-8600 Fax: 310-656-8606 | |
Caitlin E Berry, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 | |
Michael Allan Andersen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 | |
Adrienne Telemaque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 |