Southland Physical Therapy Inc | |
4482 Barranca Pkwy Ste 195, Irvine, CA 92604-4706 | |
(949) 679-3337 | |
(949) 679-3336 |
Full Name | Southland Physical Therapy Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 4482 Barranca Pkwy Ste 195, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710150172 | NPI | - | NPPES |
OPT370670 | Other | BLUE SHIELD PIN | |
OPT244540 | Other | CA | BLUE SHIELD PIN |
0PT320670 | Other | CA | BLUE SHIELD PIN |
OT0015030 | Other | CA | BLUE SHIELD PIN (SHERYL LEE, OTL) |
OPT384920 | Other | CA | BLUE SHIELD PIN (RACHEL LEE, DPT) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT32067 (California) | Primary |
225100000X | Physical Therapist | PT24454 (California) | Secondary |
Provider Name | James Kuan Lee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629085162 PECOS PAC ID: 4183643513 Enrollment ID: I20051115000910 |
Provider Name | Jason H Park |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053370239 PECOS PAC ID: 6800975525 Enrollment ID: I20080507000188 |
Provider Name | Shanice D Lowe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922475375 PECOS PAC ID: 6406163807 Enrollment ID: I20150917001019 |
Provider Name | Thomas Hoan Dinh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124486311 PECOS PAC ID: 9638475932 Enrollment ID: I20160314000620 |
Provider Name | Jonathon R Myers |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487179008 PECOS PAC ID: 8123386083 Enrollment ID: I20171222000814 |
Provider Name | Andrew William Hodge |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881250645 PECOS PAC ID: 4880929082 Enrollment ID: I20190710002518 |
Provider Name | James Dimascio |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982133039 PECOS PAC ID: 3375815202 Enrollment ID: I20200518000544 |
Provider Name | Julianne Claire Guevarra |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518426121 PECOS PAC ID: 4880015247 Enrollment ID: I20200611000254 |
Provider Name | Paul Tayas Molina |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598253650 PECOS PAC ID: 0648691022 Enrollment ID: I20200611001048 |
Provider Name | Jazmin Kan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033750500 PECOS PAC ID: 6305264904 Enrollment ID: I20200914002675 |
Provider Name | Zachary Staudenmaier |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659986370 PECOS PAC ID: 5496166910 Enrollment ID: I20201204000345 |
Provider Name | Samuel Ha |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457953861 PECOS PAC ID: 4082027396 Enrollment ID: I20210106000168 |
Provider Name | Paul Phuc Nguyen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508469339 PECOS PAC ID: 2668889205 Enrollment ID: I20210329000805 |
Provider Name | Fergie Anne Cruz Mercado |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598430712 PECOS PAC ID: 8527465129 Enrollment ID: I20210924000460 |
Provider Name | Phillip Ngo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649938994 PECOS PAC ID: 4183011182 Enrollment ID: I20220421000867 |
Provider Name | Kristen Carol Pitts |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407013162 PECOS PAC ID: 6103204268 Enrollment ID: I20220601001800 |
Provider Name | Jose E Cerda |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316682461 PECOS PAC ID: 5991183881 Enrollment ID: I20220606001169 |
Provider Name | Isiah James De Guzman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821716598 PECOS PAC ID: 1759765944 Enrollment ID: I20220907003530 |
Provider Name | Ho Jung Lee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740999333 PECOS PAC ID: 9335511690 Enrollment ID: I20230214002581 |
Provider Name | Donna Kaitlyn Raymundo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225747835 PECOS PAC ID: 4284007725 Enrollment ID: I20230302001826 |
Provider Name | Patricia Herridge |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942918552 PECOS PAC ID: 0840663241 Enrollment ID: I20230306002479 |
Provider Name | Magdalena Avila Lopez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922714088 PECOS PAC ID: 7517330921 Enrollment ID: I20230306002719 |
Provider Name | Jordan Antol |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033997333 PECOS PAC ID: 7416305958 Enrollment ID: I20231122001201 |
Provider Name | Laura Catalina Murillo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235603853 PECOS PAC ID: 4082062005 Enrollment ID: I20231130001913 |
Provider Name | Cristina Marie Guerrero |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326721218 PECOS PAC ID: 1052760899 Enrollment ID: I20231206000213 |
Provider Name | Sami I Jamil |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346024783 PECOS PAC ID: 9638528979 Enrollment ID: I20231212000796 |
Mailing Address | Practice Location Address |
---|---|
Southland Physical Therapy Inc 4482 Barranca Pkwy, Suite 195, Irvine, CA 92604-7701 Ph: (949) 679-3337 | Southland Physical Therapy Inc 4482 Barranca Pkwy Ste 195, Irvine, CA 92604-4706 Ph: (949) 679-3337 |
Kimberly M. Maclean, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606 Phone: 949-265-2442 Fax: 949-265-2448 | |
Ms. Luz O Blake, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15715 Rockfield Boulevard, Suite 100, Irvine, CA 92618 Phone: 949-206-9100 Fax: 949-206-1648 | |
Davis Y Koh, DPT, MBA, GCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9080 Irvine Center Dr, Irvine, CA 92618 Phone: 949-540-5641 | |
Par Plus, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 16257 Laguna Canyon Rd, Suite # 150, Irvine, CA 92618 Phone: 949-727-0700 Fax: 949-727-0707 | |
Denise Marie Lane, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4482 Barranca Pkwy Ste 195, Irvine, CA 92604 Phone: 949-679-3337 Fax: 949-679-3336 | |
Matthew Hoang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17332 Von Karman Ave Ste 120, Irvine, CA 92614 Phone: 949-861-8600 | |
Shelly A Gadea, Physical Therapist Medicare: Medicare Enrolled Practice Location: 24 Hammond, Unit C, Irvine, CA 92618 Phone: 949-770-6022 Fax: 949-770-7084 |