- Medicare in San Luis Obispo, CA

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is a medicare enrolled "Clinic/center - Physical Therapy" provider in San Luis Obispo, California. Their current practice location is 805 Aerovista Pl Ste 104, San Luis Obispo, California. You can reach out to their office (for appointments etc.) via phone at (805) 543-7771.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073552378.

Contact Information

805 Aerovista Pl Ste 104,
San Luis Obispo, CA 93401-7921
(805) 543-7771
(805) 543-7761

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Physical Therapy
Location805 Aerovista Pl Ste 104, San Luis Obispo, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073552378
  • Provider Enumeration Date: 06/05/2006
  • Last Update Date: 04/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7618872946
  • Enrollment ID: O20040117000206

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073552378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameToni J Oliver
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942302849
PECOS PAC ID: 8527045715
Enrollment ID: I20040706000970
Provider NameMichael Peter Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356443493
PECOS PAC ID: 8022095140
Enrollment ID: I20040706001258
Provider NameJason Sanders
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174554075
PECOS PAC ID: 4789664970
Enrollment ID: I20040720000882
Provider NameKelly Sanders
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316978182
PECOS PAC ID: 4789664988
Enrollment ID: I20040720000956
Provider NameRichard M Goldbach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003848169
PECOS PAC ID: 6800847047
Enrollment ID: I20050204000791
Provider NameColleen Russell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922173574
PECOS PAC ID: 6709886260
Enrollment ID: I20070105000422
Provider NameJennifer Seay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205019809
PECOS PAC ID: 9739261991
Enrollment ID: I20080125000691
Provider NameFrederic Hanker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396776779
PECOS PAC ID: 1850434549
Enrollment ID: I20100203000378
Provider NameJason A Roda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093746281
PECOS PAC ID: 7517944606
Enrollment ID: I20100204000062
Provider NameJulie Butler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538197819
PECOS PAC ID: 8921141425
Enrollment ID: I20100205000454
Provider NameRobert Limone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629045570
PECOS PAC ID: 9931092129
Enrollment ID: I20100923000384
Provider NameColleen R Vecchetti
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659676849
PECOS PAC ID: 3476735234
Enrollment ID: I20110315000871
Provider NameMackenzie N Dake
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639476039
PECOS PAC ID: 2365625167
Enrollment ID: I20110331000224
Provider NameMichael W Brinkman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568609048
PECOS PAC ID: 2062685258
Enrollment ID: I20111103000630
Provider NameEmily L Watts
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710269246
PECOS PAC ID: 4486828670
Enrollment ID: I20111128000679
Provider NameJacquelyn Lee Kemp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831462977
PECOS PAC ID: 2466615281
Enrollment ID: I20120515000211
Provider NameEliza R Downs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093050387
PECOS PAC ID: 6002069945
Enrollment ID: I20121231000213
Provider NameLori A Dentinger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699815787
PECOS PAC ID: 9537300090
Enrollment ID: I20130725000243
Provider NameKalahan Slette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144653569
PECOS PAC ID: 5799914883
Enrollment ID: I20140213000741
Provider NameBrandon N Weipert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265858385
PECOS PAC ID: 0547493009
Enrollment ID: I20140507001783
Provider NameNathan Velazquez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770999047
PECOS PAC ID: 2769604230
Enrollment ID: I20141118000733
Provider NameJulie Sarah-claire Rawlings
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891170486
PECOS PAC ID: 0345556049
Enrollment ID: I20150826000119
Provider NameWade Nolte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518356880
PECOS PAC ID: 0749507507
Enrollment ID: I20160713002127
Provider NameKristine Csicsery
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386097079
PECOS PAC ID: 3375838063
Enrollment ID: I20160819000331
Provider NameMegan L Meisenheimer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750749107
PECOS PAC ID: 6709161722
Enrollment ID: I20170314000464
Provider NameNicole Yvonne Wessel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316486921
PECOS PAC ID: 0345518791
Enrollment ID: I20170608000535
Provider NameTroy Mcclanahan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992239263
PECOS PAC ID: 8820366933
Enrollment ID: I20170614000819
Provider NameJonathan Grisanti
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144757667
PECOS PAC ID: 1052680527
Enrollment ID: I20170627002480
Provider NameCourtney Mahaffey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659897247
PECOS PAC ID: 5799051819
Enrollment ID: I20171017003487
Provider NameKyle Nelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417473539
PECOS PAC ID: 0547536070
Enrollment ID: I20171026003524
Provider NameBritney Grayson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730673286
PECOS PAC ID: 7315293883
Enrollment ID: I20180713001089
Provider NameEric Balash
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336705862
PECOS PAC ID: 6305171885
Enrollment ID: I20190708000430
Provider NameNicholas David Lacey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639638984
PECOS PAC ID: 6507196466
Enrollment ID: I20190919002509
Provider NameAmy Gaffney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669017166
PECOS PAC ID: 7113350844
Enrollment ID: I20191210002187
Provider NameJose Ramon Perez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821635319
PECOS PAC ID: 1759718711
Enrollment ID: I20200304000199
Provider NameKelly Jarrett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831703065
PECOS PAC ID: 3577981174
Enrollment ID: I20200914002689
Provider NameAvi Feldman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134727126
PECOS PAC ID: 8729498506
Enrollment ID: I20201105002430
Provider NameEvelyn N Delgado
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932703360
PECOS PAC ID: 9537572128
Enrollment ID: I20201228000552
Provider NameAaron Moreno
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821690140
PECOS PAC ID: 3870906944
Enrollment ID: I20210108002365
Provider NameLauren Yamada
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124621008
PECOS PAC ID: 5890108864
Enrollment ID: I20210112001585
Provider NameAlexandria Dalley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316513856
PECOS PAC ID: 8426459868
Enrollment ID: I20210623002124
Provider NameDaniel Apodaca
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285307660
PECOS PAC ID: 8820493174
Enrollment ID: I20210824003078
Provider NameMarissa Battaglia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396411138
PECOS PAC ID: 6709282379
Enrollment ID: I20210907001907
Provider NameJay Michael Hayward
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649867516
PECOS PAC ID: 4385041474
Enrollment ID: I20210915003263
Provider NameKimberly Tomooka Mccarty Dobbe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811663669
PECOS PAC ID: 9032516505
Enrollment ID: I20210927000637
Provider NameKyle Cristal
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871246884
PECOS PAC ID: 2567849045
Enrollment ID: I20220523001986
Provider NameAlan De Vera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639807670
PECOS PAC ID: 2668855701
Enrollment ID: I20220823000258
Provider NameBrittany Palish
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881047173
PECOS PAC ID: 6305133455
Enrollment ID: I20220823003350
Provider NameKristen Dibernardo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700576865
PECOS PAC ID: 6305203209
Enrollment ID: I20230608001225
Provider NameHaley Kubinak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760160261
PECOS PAC ID: 5395105423
Enrollment ID: I20230720001402
Provider NameMai Xiong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679253512
PECOS PAC ID: 2466814603
Enrollment ID: I20230818002877
Provider NameWhitney Marsh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811773518
PECOS PAC ID: 7911351416
Enrollment ID: I20231003001555
Provider NameMelissa Trujillo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306526249
PECOS PAC ID: 9436504537
Enrollment ID: I20231010001576
Provider NameCynthia Vanessa Huerta
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417734989
PECOS PAC ID: 7416302518
Enrollment ID: I20231010001608
Provider NameCrystal U Ignacio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952343667
PECOS PAC ID: 0143307546
Enrollment ID: I20231109002700
Provider NameDeborah Licata
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578202123
PECOS PAC ID: 4981057684
Enrollment ID: I20240130000859
Provider NameKieran Mcquade
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093578692
PECOS PAC ID: 1456794965
Enrollment ID: I20240212001548
Provider NameJoshua Moore
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982463766
PECOS PAC ID: 9931547767
Enrollment ID: I20240329000643
Provider NameCeasar Saenz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205601481
PECOS PAC ID: 9830537604
Enrollment ID: I20240329002467
Provider NameHannah Gallardo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962242073
PECOS PAC ID: 9335681139
Enrollment ID: I20240607002932
Provider NameRachel Barnett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598502247
PECOS PAC ID: 5294274080
Enrollment ID: I20240823003820
Provider NameCooper Silva
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497581599
PECOS PAC ID: 9436682564
Enrollment ID: I20241029001331

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

408 Higuera St Ste 200,
San Luis Obispo, CA 93401-6135

Ph: (805) 788-0805
805 Aerovista Pl Ste 104,
San Luis Obispo, CA 93401-7921

Ph: (805) 543-7771

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.