| Rancho Del Mar Physical Therapy Pc | |
|
3790 Via De La Valle, Suite 205 And 206, Del Mar, CA 92014-4247 | |
| (858) 350-6500 | |
| (858) 350-6505 |
| Full Name | Rancho Del Mar Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3790 Via De La Valle, Del Mar, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609210038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT36347 (California) | Primary |
| Provider Name | Tracey L King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962725879 PECOS PAC ID: 4183757289 Enrollment ID: I20100726000686 |
| Provider Name | Joseph Nichols |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528580230 PECOS PAC ID: 4587935366 Enrollment ID: I20170814000727 |
| Provider Name | Roger Sheen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790310225 PECOS PAC ID: 3779905757 Enrollment ID: I20200619001968 |
| Provider Name | Aabha Harsh Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457963316 PECOS PAC ID: 8921428566 Enrollment ID: I20201020001423 |
| Provider Name | Brett Slutsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487227641 PECOS PAC ID: 5597168484 Enrollment ID: I20210729003097 |
| Provider Name | Kayla Frost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013665371 PECOS PAC ID: 8527454222 Enrollment ID: I20220406000401 |
| Provider Name | John Freeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821715632 PECOS PAC ID: 9931578044 Enrollment ID: I20221213000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Del Mar Physical Therapy Pc 3790 Via De La Valle, Suite 205 And 206, Del Mar, CA 92014-4247 Ph: (858) 350-6500 | Rancho Del Mar Physical Therapy Pc 3790 Via De La Valle, Suite 205 And 206, Del Mar, CA 92014-4247 Ph: (858) 350-6500 |
Kayla Frost, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3790 Via De La Valle, Del Mar, CA 92014 Phone: 858-350-6500 | |
Ms. Virginia Genevieve Gamble, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2825 Camino Del Mar, Apt 66, Del Mar, CA 92014 Phone: 310-985-9303 | |
Arianna Robichaux, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12865 Pointe Del Mar Way Ste 190, Del Mar, CA 92014 Phone: 844-316-7979 Fax: 866-813-1235 | |
Shawna Crescenzo, MSPT, OCS, CPI Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 Camino Del Mar Ste G, Del Mar, CA 92014 Phone: 858-792-1124 Fax: 858-792-7775 | |
Mr. Matthew S. Walzer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12865 Pointe Del Mar Way, Suite 200, Del Mar, CA 92014 Phone: 858-535-1894 Fax: 858-535-1863 | |
Mr. Robert Michael Quintas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 14th St, Del Mar, CA 92014 Phone: 858-755-1229 | |
Michael Evan Kastan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2690 Via De La Valle Ste D160, Del Mar, CA 92014 Phone: 858-290-0855 |