| Pro Dynamic Physical Therapy Inc. | |
|
6955 Douglas Blvd, Granite Bay, CA 95746-6256 | |
| (916) 318-6964 | |
| (916) 318-6965 |
| Full Name | Pro Dynamic Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6955 Douglas Blvd, Granite Bay, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437522455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (California) | Primary |
| Provider Name | Travis K Tanasse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811210040 PECOS PAC ID: 3072640432 Enrollment ID: I20100416000606 |
| Provider Name | Melissa Mcbride |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295478618 PECOS PAC ID: 9335536820 Enrollment ID: I20220502002217 |
| Provider Name | Megan Nicole Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982169637 PECOS PAC ID: 3173973419 Enrollment ID: I20231228001192 |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Dynamic Physical Therapy Inc. 6955 Douglas Blvd, Granite Bay, CA 95746-6256 Ph: (916) 318-6964 | Pro Dynamic Physical Therapy Inc. 6955 Douglas Blvd, Granite Bay, CA 95746-6256 Ph: (916) 318-6964 |
Granite Bay Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6910 Douglas Blvd, Suite D, Granite Bay, CA 95746 Phone: 916-791-5011 Fax: 916-791-3211 | |
Christopher Headrick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6910 Douglas Blvd, Suite D, Granite Bay, CA 95746 Phone: 916-791-5011 Fax: 916-791-3211 | |
Travis Tanasse, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6955 Douglas Blvd, Granite Bay, CA 95746 Phone: 916-318-6964 Fax: 916-318-6965 | |
Dr. Janet Christine Cookson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4916 Forest Creek Way, Granite Bay, CA 95746 Phone: 916-791-7560 Fax: 916-786-7254 | |
Sharon Shuler, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4734 Rolling Oaks Dr, Granite Bay, CA 95746 Phone: 916-213-2533 Fax: 916-791-2754 | |
Eric Odegard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6910 Douglas Blvd Ste D, Granite Bay, CA 95746 Phone: 916-791-5011 Fax: 916-691-9448 |