| South Bay Sports Medicine Physical Therapy Inc. | |
|
3878 West Carson Street, Suite 100, Torrance, CA 90503 | |
| (310) 543-4655 | |
| (310) 543-1743 |
| Full Name | South Bay Sports Medicine Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3878 West Carson Street, Torrance, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780770214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 12037 (California) | Primary |
| Provider Name | Greg E Petersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013013176 PECOS PAC ID: 4385602168 Enrollment ID: I20041227000454 |
| Provider Name | Laura D Hayden Frantz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518008895 PECOS PAC ID: 7618035247 Enrollment ID: I20081024000643 |
| Provider Name | Allen J Dewit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932206612 PECOS PAC ID: 6507990660 Enrollment ID: I20100811001122 |
| Provider Name | Gary Charles Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114013802 PECOS PAC ID: 8426224460 Enrollment ID: I20111222000229 |
| Provider Name | Michael N Fischvogt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831284231 PECOS PAC ID: 7618143280 Enrollment ID: I20120103000301 |
| Provider Name | Pamela Ann Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356583405 PECOS PAC ID: 5092954347 Enrollment ID: I20130617000472 |
| Provider Name | Cheryl A Abbani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346310331 PECOS PAC ID: 6406281856 Enrollment ID: I20200127001007 |
| Provider Name | Kelly Reiko Kika |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871059006 PECOS PAC ID: 0446667091 Enrollment ID: I20210325002055 |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Sports Medicine Physical Therapy Inc. 3878 West Carson Street, Suite 100, Torrance, CA 90503 Ph: (310) 543-4655 | South Bay Sports Medicine Physical Therapy Inc. 3878 West Carson Street, Suite 100, Torrance, CA 90503 Ph: (310) 543-4655 |
Jessica Dimaunahan Sison, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21825 Hawthorne Blvd, Torrance, CA 90503 Phone: 310-542-5878 | |
Thomas James Cipolla, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2355 Crenshaw Blvd Ste 130, Torrance, CA 90501 Phone: 310-539-8800 Fax: 424-203-8389 | |
Henrey Dwight Kelsey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3500 Lomita Blvd, Ste M100, Torrance, CA 90505 Phone: 310-325-7404 Fax: 310-325-4971 | |
Dr. Noelle Gilson Budrovich, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2842 Sepulveda Blvd, Torrance, CA 90505 Phone: 310-325-0800 Fax: 310-325-7705 | |
Jennifer B. Stahl, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3858 W Carson St, Suite 121, Torrance, CA 90503 Phone: 310-543-9333 Fax: 310-405-0954 | |
Greg Edward Petersen, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3878 W Carson St, Suite 100, Torrance, CA 90503 Phone: 310-543-4655 Fax: 310-543-1743 | |
Torrance Orthopedic Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23456 Hawthorne Blvd, Suite 300 B, Torrance, CA 90505 Phone: 310-540-7381 Fax: 310-316-1788 |