Prime Rehab Center Physical Therapy A Professional Corporation | |
8545 Sierra Ave, Fontana, CA 92335-3868 | |
(909) 365-3557 | |
(909) 658-8987 |
Full Name | Prime Rehab Center Physical Therapy A Professional Corporation |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 8545 Sierra Ave, Fontana, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669914396 | NPI | - | NPPES |
PT35680 | Other | CA | CALIFORNIA PHYSICAL THERAPY BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT35680 (California) | Primary |
Provider Name | Hosuk Lee |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619019445 PECOS PAC ID: 7315046620 Enrollment ID: I20070627000719 |
Provider Name | Seung Hyuk Park |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932331410 PECOS PAC ID: 9537215991 Enrollment ID: I20090926000040 |
Provider Name | Elena Decastro |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073831582 PECOS PAC ID: 8123214053 Enrollment ID: I20101118000220 |
Provider Name | Steve Chu |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265043178 PECOS PAC ID: 9133547847 Enrollment ID: I20200911002792 |
Provider Name | Dajeong Nam |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366040008 PECOS PAC ID: 8426460916 Enrollment ID: I20201207000578 |
Provider Name | Byungkwan An |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275191777 PECOS PAC ID: 9436580693 Enrollment ID: I20220830004153 |
Provider Name | Stephen Gant |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235709411 PECOS PAC ID: 9931576600 Enrollment ID: I20221109001695 |
Provider Name | Sehyuk Park |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285320176 PECOS PAC ID: 1153788237 Enrollment ID: I20230605002636 |
Provider Name | Ahram Hong |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124806716 PECOS PAC ID: 3870948573 Enrollment ID: I20231016002780 |
Mailing Address | Practice Location Address |
---|---|
Prime Rehab Center Physical Therapy A Professional Corporation 8545 Sierra Ave, Fontana, CA 92335-3868 Ph: (909) 365-3557 | Prime Rehab Center Physical Therapy A Professional Corporation 8545 Sierra Ave, Fontana, CA 92335-3868 Ph: (909) 365-3557 |
Sheila Ann Vanallen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Building 3a, Fontana, CA 92335 Phone: 909-427-7727 | |
Walter Tablante De Jesus, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13578 Hatcher Pl, Fontana, CA 92336 Phone: 909-641-1096 | |
Paula Ann Shearer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4075 | |
Jeanie Salvador, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Avenue, Fontana, CA 92335 Phone: 909-427-7900 | |
Marissa Huma, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 951-295-4253 | |
Ing Chang, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4075 | |
Dr. Candice Shearer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17284 Slover Ave, Fontana, CA 92337 Phone: 909-609-3800 |