| Sports & Wellness Physical Therapy, Inc. | |
|
3440 S Higuera St Ste 120, San Luis Obispo, CA 93401-7393 | |
| (805) 439-2159 | |
| (805) 439-2160 |
| Full Name | Sports & Wellness Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3440 S Higuera St Ste 120, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639195761 | NPI | - | NPPES |
| GPT001450 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT14568 (California) | Primary |
| Provider Name | Douglas B Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609895432 PECOS PAC ID: 3375519085 Enrollment ID: I20120104000779 |
| Mailing Address | Practice Location Address |
|---|---|
| Sports & Wellness Physical Therapy, Inc. Po Box 3070, Shell Beach, CA 93448-3070 Ph: (805) 439-2159 | Sports & Wellness Physical Therapy, Inc. 3440 S Higuera St Ste 120, San Luis Obispo, CA 93401-7393 Ph: (805) 439-2159 |
Movement For Life Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 862 Meinecke Ave Ste 101, San Luis Obispo, CA 93405 Phone: 805-619-0414 Fax: 805-549-5253 | |
Bethany Ritter Askay, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1545 Higuera St, San Luis Obispo, CA 93401 Phone: 805-543-5633 Fax: 805-543-5990 | |
Sport, Spine & Orthopedic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 862 Meinecke Ave, Suite 101, San Luis Obispo, CA 93405 Phone: 805-541-4714 Fax: 805-541-4235 | |
Dr. Logan Marshall, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 862 Meinecke Ave Ste 101, San Luis Obispo, CA 93405 Phone: 805-619-0414 Fax: 805-549-5253 | |
Mr. Laird Madison Reeds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1422 Monterey St Ste C102, San Luis Obispo, CA 93401 Phone: 805-543-5100 Fax: 805-543-5106 | |
David Walter Svetich, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 211 Tank Farm Rd Ste B, San Luis Obispo, CA 93401 Phone: 805-714-5699 | |
Movement For Life Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 805 Aerovista Pl Ste 104, San Luis Obispo, CA 93401 Phone: 805-543-7771 Fax: 805-543-7761 |