Sarah Pendergrast, DPT | |
2038 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6499 | |
(530) 208-9910 | |
Not Available |
Full Name | Sarah Pendergrast |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 2038 Lake Tahoe Blvd, South Lake Tahoe, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528635489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pt Revolution Physical Therapy Pc | 5092174987 | 6 |
Provider Name | Pt Revolution Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467179663 PECOS PAC ID: 5092174987 Enrollment ID: O20230711000737 |
Mailing Address | Practice Location Address |
---|---|
Sarah Pendergrast, DPT 245 Chelsea Dr, Decatur, GA 30030-5003 Ph: (404) 729-5517 | Sarah Pendergrast, DPT 2038 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6499 Ph: (530) 208-9910 |
Michelle Appelle, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 | |
Michael Neiger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 | |
Rene Hoogendijk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-542-3000 Fax: 530-544-6512 | |
Nancy Bru, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 | |
Joseph H Dengler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 | |
Michael John Lyons, MPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 | |
Christine Ann Kozlowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512 |