Ryan M Long, DPT | |
320 Broadway Ste 2, Chula Vista, CA 91910-3502 | |
(619) 447-7774 | |
(619) 447-7779 |
Full Name | Ryan M Long |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 320 Broadway Ste 2, Chula Vista, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235487083 | NPI | - | NPPES |
PT39193 | Other | CA | PHYSICAL THERAPIST LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 39193 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elnel, Inc. A California Corporation Total Physical Therapy | 5890703532 | 6 |
Provider Name | Elnel, Inc. A California Corporation Total Physical Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386681732 PECOS PAC ID: 5890703532 Enrollment ID: O20060330000191 |
Mailing Address | Practice Location Address |
---|---|
Ryan M Long, DPT 885 Canarios Ct Ste 110, Chula Vista, CA 91910-7877 Ph: (619) 656-5102 | Ryan M Long, DPT 320 Broadway Ste 2, Chula Vista, CA 91910-3502 Ph: (619) 447-7774 |
Nicole Maria Irizarry Tovar, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 E Naples St, Chula Vista, CA 91911 Phone: 619-421-6083 | |
Joseph Edward Bailey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 955 Lane Ave, #201, Chula Vista, CA 91914 Phone: 619-421-9521 Fax: 619-421-9568 | |
Daniel Tucker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 344 F St, Suite 300, Chula Vista, CA 91910 Phone: 619-585-4080 Fax: 619-427-4572 | |
Dr. Stacy Haller, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1040 Tierra Del Rey Ste 107, Chula Vista, CA 91910 Phone: 619-500-5884 | |
Maya Sankaran, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 Tierra Del Rey Ste A1, Chula Vista, CA 91910 Phone: 619-585-7104 | |
David Sebastian Mignea, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 320 Broadway Ste 2, Chula Vista, CA 91910 Phone: 619-422-0404 Fax: 619-422-4153 | |
Ms. Kara W. Barnett, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 891 Kuhn Dr, Ste. 101, Chula Vista, CA 91914 Phone: 619-656-6470 Fax: 619-656-6614 |