| Samuel Lewis Iqbal-hofmeister, DPT | |
|
10255 Live Oak Blvd, Live Oak, CA 95953-2015 | |
| (530) 695-3700 | |
| (530) 695-3780 |
| Full Name | Samuel Lewis Iqbal-hofmeister |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 10255 Live Oak Blvd, Live Oak, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831598762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3024 (Nevada) | Secondary |
| 225100000X | Physical Therapist | 3589 (Idaho) | Secondary |
| 225100000X | Physical Therapist | 42759 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Provider Name | Western Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740216332 PECOS PAC ID: 8022076348 Enrollment ID: O20050103000515 |
| Provider Name | Baas & Royce Rehabilitation Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1699186247 PECOS PAC ID: 1355569245 Enrollment ID: O20140908001044 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Lewis Iqbal-hofmeister, DPT 10255 Live Oak Blvd, Live Oak, CA 95953-2015 Ph: (530) 695-3700 | Samuel Lewis Iqbal-hofmeister, DPT 10255 Live Oak Blvd, Live Oak, CA 95953-2015 Ph: (530) 695-3700 |
Angela Elizabeth Heintz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10255 Live Oak Blvd, Live Oak, CA 95953 Phone: 530-695-3700 | |
Caleb Andrew Collier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10255 Live Oak Blvd, Live Oak, CA 95953 Phone: 530-695-3700 Fax: 530-695-3780 | |
Snehaben Joshi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10255 Live Oak Blvd, Live Oak, CA 95953 Phone: 530-695-3700 Fax: 530-695-3780 | |
Lisa M Boyan, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10255 Live Oak Blvd, Live Oak, CA 95953 Phone: 702-218-4880 | |
Live Oak Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10255 Live Oak Blvd, Live Oak, CA 95953 Phone: 530-695-3700 Fax: 530-695-3780 | |
Kathryn Eleanor Hickey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10255 Live Oak Blvd, Live Oak, CA 95953 Phone: 530-695-3700 Fax: 530-695-3780 | |
Andrea R Boatwright, Physical Therapist Medicare: Medicare Enrolled Practice Location: 10255 Live Oak Blvd, Live Oak, CA 95953 Phone: 530-695-3700 |