| Pro Physical Therapy | |
|
490 S San Vicente Blvd Ste 3, Los Angeles, CA 90048-4132 | |
| (323) 655-9055 | |
| (323) 655-9255 |
| Full Name | Pro Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 490 S San Vicente Blvd Ste 3, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538166079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT21545 (California) | Primary |
| Provider Name | Donald E Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023183464 PECOS PAC ID: 5698669133 Enrollment ID: I20040216000305 |
| Provider Name | Brian Mendez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205857604 PECOS PAC ID: 3678526696 Enrollment ID: I20050301000960 |
| Provider Name | Jeffrey Yu Chang Wang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922243633 PECOS PAC ID: 1850572033 Enrollment ID: I20110221001010 |
| Provider Name | Heather M Case |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780721423 PECOS PAC ID: 7618963885 Enrollment ID: I20160517000282 |
| Provider Name | Michael Jose Gonzales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285296657 PECOS PAC ID: 6608201710 Enrollment ID: I20200120000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Physical Therapy 2309 Pacific Ave, Manhattan Beach, CA 90266-2631 Ph: (323) 697-4046 | Pro Physical Therapy 490 S San Vicente Blvd Ste 3, Los Angeles, CA 90048-4132 Ph: (323) 655-9055 |
Miss Jill M Werner, B.SC.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Cesar E Chavez Ave., Los Angeles, CA 90033 Phone: 323-268-5000 | |
Ms. Peggy Sue Perock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Street, Bob Hope Medical Clinic, Los Angeles, CA 90036 Phone: 323-634-3826 Fax: 323-938-9958 | |
Jessica Elizabeth Greim, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 310-361-2118 | |
Mrs. Christy Lynn Skura, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8717 Venice Blvd, Los Angeles, CA 90034 Phone: 310-337-7115 Fax: 310-216-6153 | |
Dr. Sean Dennis Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 488 S San Vicente Blvd, Los Angeles, CA 90048 Phone: 323-655-9055 | |
Izumi Yasuhara, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6080 Center Dr Fl 6, Los Angeles, CA 90045 Phone: 888-859-0145 | |
Ritchie Val Aguilera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 Fair Park Ave, Apt 206, Los Angeles, CA 90041 Phone: 818-985-5990 |