| Riviera Sports Physical Therapy Inc | |
|
1204 S Pacific Coast Hwy, Redondo Beach, CA 90277-4904 | |
| (310) 316-3577 | |
| (310) 316-3578 |
| Full Name | Riviera Sports Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1204 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 |
|---|---|---|---|
| 1801929369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT17407 (California) | Primary |
| Provider Name | Frank J Croasdale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528191087 PECOS PAC ID: 4789656620 Enrollment ID: I20040811000826 |
| Provider Name | Jeffrey W Okerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821259284 PECOS PAC ID: 2365500980 Enrollment ID: I20081024000618 |
| Provider Name | Arlene Hsu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780971168 PECOS PAC ID: 4082988001 Enrollment ID: I20170914001776 |
| Provider Name | Grant K Uyemura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265919781 PECOS PAC ID: 4789937392 Enrollment ID: I20181029003057 |
| Provider Name | Katherine M Fester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891303970 PECOS PAC ID: 6406271386 Enrollment ID: I20200804001045 |
| Mailing Address | Practice Location Address |
|---|---|
| Riviera Sports Physical Therapy Inc 318 Avenue I # 389, Redondo Beach, CA 90277-5601 Ph: (310) 316-3577 | Riviera Sports Physical Therapy Inc 1204 S Pacific Coast Hwy, Redondo Beach, CA 90277-4904 Ph: (310) 316-3577 |
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 |