| Spine And Sport Physical Therapy, Inc | |
|
32261 Camino Capistrano, Suite D101, San Juan Capistrano, CA 92675-3746 | |
| (949) 429-2155 | |
| (949) 429-2151 |
| Full Name | Spine And Sport Physical Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 32261 Camino Capistrano, San Juan Capistrano, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033142013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | CA27078 (California) | Primary |
| Provider Name | Paul Gregory Batchelor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932389996 PECOS PAC ID: 7911810452 Enrollment ID: I20031110000768 |
| Provider Name | Mirko Vuksic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922107614 PECOS PAC ID: 5890689327 Enrollment ID: I20040213000333 |
| Provider Name | Melissa M De La O |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164602124 PECOS PAC ID: 0143471151 Enrollment ID: I20121120000513 |
| Provider Name | Kyle Jordan Olandt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073158440 PECOS PAC ID: 0840626859 Enrollment ID: I20200212000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine And Sport Physical Therapy, Inc 32261 Camino Capistrano, Suite D101, San Juan Capistrano, CA 92675-3746 Ph: (949) 429-2155 | Spine And Sport Physical Therapy, Inc 32261 Camino Capistrano, Suite D101, San Juan Capistrano, CA 92675-3746 Ph: (949) 429-2155 |
Allyson Blackstone, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31441 Avenida De La Vis, San Juan Capistrano, CA 92675 Phone: 949-312-7227 | |
Kyle Jordan Olandt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32261 Camino Capistrano, San Juan Capistrano, CA 92675 Phone: 818-421-4745 | |
Dr. Jillian Stewart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31441 Avenida De La Vis, San Juan Capistrano, CA 92675 Phone: 949-312-7227 | |
Matthew Brandon Huebert, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26284 Oso Rd, San Juan Capistrano, CA 92675 Phone: 949-240-8441 Fax: 848-240-3447 | |
Joshua Drage Watson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30230 Rancho Viejo Rd Ste 120, San Juan Capistrano, CA 92675 Phone: 949-461-1250 Fax: 949-429-5999 | |
Arthur John Brandenburg, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31105 Rancho Viejo Rd Ste C9, San Juan Capistrano, CA 92675 Phone: 949-496-4330 |