Shannon Elizabeth Vandevelde, PT | |
205 N Hermosa Ave, Sierra Madre, CA 91024-1731 | |
(626) 840-6384 | |
(626) 836-0612 |
Full Name | Shannon Elizabeth Vandevelde |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 205 N Hermosa Ave, Sierra Madre, 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 |
---|---|---|---|
1649216011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT24063 (California) | Primary |
Provider Name | On The Move Physical Therapy, P.c. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760428304 PECOS PAC ID: 5193728723 Enrollment ID: O20060821000159 |
Mailing Address | Practice Location Address |
---|---|
Shannon Elizabeth Vandevelde, PT 205 N Hermosa Ave, Sierra Madre, CA 91024-1731 Ph: (626) 840-6384 | Shannon Elizabeth Vandevelde, PT 205 N Hermosa Ave, Sierra Madre, CA 91024-1731 Ph: (626) 840-6384 |
Mrs. Jane Christabelle Podrebarac, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 79 E Highland Ave, Apt. D, Sierra Madre, CA 91024 Phone: 626-836-3129 | |
Michael K Williams, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 383 E Sierra Madre Blvd, Sierra Madre, CA 91024 Phone: 626-627-8909 | |
On The Move Physical Therapy, P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 205 N Hermosa Ave, Sierra Madre, CA 91024 Phone: 626-840-6384 Fax: 626-836-0612 |