Pine Street Physical & Occupational Therapy in Lodi, CA - Medicare Physical Therapist Provider

Pine Street Physical & Occupational Therapy is a medicare enrolled "Physical Therapist" provider in Lodi, California. Their current practice location is 525 S Fairmont Ave, Suite G, Lodi, California. You can reach out to their office (for appointments etc.) via phone at (209) 339-1690.

Pine Street Physical & Occupational Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pine Street Physical & Occupational Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1669873782.

Contact Information

	Pine Street Physical & Occupational Therapy
	525 S Fairmont Ave, Suite G, Lodi, CA 95240-3860
	(209) 339-1690
	(209) 339-1693

Map and Direction

Healthcare Provider's Profile

Full Name	Pine Street Physical & Occupational Therapy
Type	Facility
Speciality	Physical Therapist
Location	525 S Fairmont Ave, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669873782
Provider Enumeration Date: 09/08/2014
Last Update Date: 09/08/2014

Medicare PECOS Information:

PECOS PAC ID: 9830164649
Enrollment ID: O20141024001958

Medical Identifiers

Medical identifiers for Pine Street Physical & Occupational Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669873782	NPI	-	NPPES
ZZZ23015Z	Other	CA	PROVIDER (PTAN)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary
225XH1200X	Occupational Therapist - Hand	(* (Not Available))	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pine Street Physical & Occupational Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Pine Street Physical & Occupational Therapy 534 E Pine St, Suite A, Stockton, CA 95204-5536 Ph: (209) 463-5800	Pine Street Physical & Occupational Therapy 525 S Fairmont Ave, Suite G, Lodi, CA 95240-3860 Ph: (209) 339-1690

Reviews and Comments

Physical Therapist in Lodi, CA

Sharen N Cheathon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225
Eliza R Downs, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225
Rafael Carlos, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2000 W Kettleman Ln Ste 106, Lodi, CA 95242 Phone: 209-207-0849
Piper Lee Barnes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433 Fax: 209-368-4219
Nino Otacan Conde, Physical Therapist Medicare: Medicare Enrolled Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433
Innovative Senior Rehabilitation Services Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Turner Rd, Lodi, CA 95240 Phone: 209-367-5812 Fax: 209-367-5812
Michael Ray Ballance, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 W Lockeford St, Lodi, CA 95240 Phone: 209-331-7471 Fax: 209-331-7464

Pine Street Physical & Occupational Therapy - Medicare Physical Therapist in Lodi, CA