| Shailja J Patel, PT | |
|
12402 Industrial Blvd, Suite B2, Victorville, CA 92395-5871 | |
| (760) 955-6061 | |
| (760) 955-6062 |
| Full Name | Shailja J Patel |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 12402 Industrial Blvd, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821466756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 43027 (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 | Pinnacle Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1245357227 PECOS PAC ID: 3779521968 Enrollment ID: O20050419000670 |
| Provider Name | Wecare Rehab Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1306273206 PECOS PAC ID: 3072737493 Enrollment ID: O20140604002380 |
| Mailing Address | Practice Location Address |
|---|---|
| Shailja J Patel, PT 1895 Mowry Ave, Ste 118a, Fremont, CA 94538-1737 Ph: (951) 696-9353 | Shailja J Patel, PT 12402 Industrial Blvd, Suite B2, Victorville, CA 92395-5871 Ph: (760) 955-6061 |
Joanne Ingram, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Ste E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Janette Joyce Mary Coppotelli, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Suite E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Nicholas Kasischke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15095 Amargosa Rd Ste 106, Victorville, CA 92394 Phone: 760-245-6495 | |
Amanda Shin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17270 Bear Valley Rd Ste 105, Victorville, CA 92395 Phone: 760-245-8828 | |
Karley Ruble, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12241 Industrial Blvd Ste 210, Victorville, CA 92395 Phone: 800-489-6905 | |
Lauretta Marie Rustad, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12402 Industrial Blvd, Suite B-2, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Optimum Care Provider, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12381 Bali St, Victorville, CA 92392 Phone: 909-509-6064 |