| Positive Energy Physical Therapy Inc | |
|
1912 S Pacific Coast Hwy, Redondo Beach, CA 90277-6118 | |
| (310) 540-5758 | |
| (310) 540-5404 |
| Full Name | Positive Energy Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1912 S Pacific Coast Hwy, Redondo Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992001341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 29414 (California) | Primary |
| Provider Name | Sean C Ryan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730286410 PECOS PAC ID: 2668503350 Enrollment ID: I20100624000234 |
| Provider Name | Christina M Powers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225099971 PECOS PAC ID: 8729223045 Enrollment ID: I20130314000180 |
| Provider Name | Matthew Varca |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215395884 PECOS PAC ID: 2466758644 Enrollment ID: I20160315000646 |
| Provider Name | Hilary Paige Gereaux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720593494 PECOS PAC ID: 9537428776 Enrollment ID: I20180117000716 |
| Provider Name | Alexandra L Gryder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023599669 PECOS PAC ID: 1850635004 Enrollment ID: I20181129001202 |
| Provider Name | Sung Jay Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871194910 PECOS PAC ID: 4486066719 Enrollment ID: I20201210001345 |
| Provider Name | Matthew Slocum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326506973 PECOS PAC ID: 8022400696 Enrollment ID: I20220112001268 |
| Provider Name | Samantha Shook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679925457 PECOS PAC ID: 3779876560 Enrollment ID: I20230726003964 |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Energy Physical Therapy Inc 1912 S Pacific Coast Hwy, Redondo Beach, CA 90277-6118 Ph: (310) 540-5758 | Positive Energy Physical Therapy Inc 1912 S Pacific Coast Hwy, Redondo Beach, CA 90277-6118 Ph: (310) 540-5758 |
Emily May Varee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2621 Manhattan Beach Blvd, Redondo Beach, CA 90278 Phone: 310-374-0477 Fax: 310-374-1605 | |
Oliver Severios, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1708 Esplanade Apt 10, Redondo Beach, CA 90277 Phone: 310-423-9293 | |
Kyle Thomas Cabahug, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 N Prospect Ave Ste 100, Redondo Beach, CA 90277 Phone: 310-376-9222 | |
Robert Frank Maffucci, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2621 Manhattan Beach Blvd, Redondo Beach, CA 90278 Phone: 310-374-0477 Fax: 310-374-1605 | |
Denise De Garceau, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 N Prospect Ave, Suite 100, Redondo Beach, CA 90277 Phone: 310-376-9222 | |
Kelly Lynn Mahoney, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2108 Huntington Ln # A, Redondo Beach, CA 90278 Phone: 310-372-3292 | |
Mrs. Julie Orsi Reynolds-gillespie, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 S Catalina Ave Ste E, Redondo Beach, CA 90277 Phone: 424-353-9791 |