Robert D Cervantez, PT | |
2015 Sidewinder Dr., Park City, UT 84060 | |
(435) 645-9095 | |
(435) 645-9092 |
Full Name | Robert D Cervantez |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 2015 Sidewinder Dr., Park City, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205981628 | NPI | - | NPPES |
280669988016 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 849822401 (Utah) | Secondary |
225100000X | Physical Therapist | 284982-2401 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Utah Adult Services | 0941525273 | 1435 |
Provider Name | University Of Utah Adult Services |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
---|---|
Robert D Cervantez, PT Po Box 682226, Park City, UT 84068 Ph: (435) 645-9095 | Robert D Cervantez, PT 2015 Sidewinder Dr., Park City, UT 84060 Ph: (435) 645-9095 |
Kathleen S Bochnowski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6030 Market St, Suite 135, Park City, UT 84098 Phone: 435-575-0345 Fax: 435-575-0346 | |
Avery Nicole Alexander, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1850 Sidewinder Dr, Park City, UT 84060 Phone: 435-645-9095 | |
Mrs. Larissa Gizelle Neal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, 200, Park City, UT 84098 Phone: 888-800-8744 | |
Kristen Prejean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Ctr Dr, Park City, UT 84098 Phone: 888-800-8744 | |
Sandra Michele Saluti, M.S.,P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Park City, UT 84098 Phone: 888-800-8744 | |
Sarah B Vaughan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 866-474-6677 | |
Ms. Kieran Angelica Glenbockie, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 888-800-8744 |