| Stac Physical Therapy Sonoma, Inc. | |
|
1400 N Dutton Ave Ste 1, Santa Rosa, CA 95401-7120 | |
| (707) 523-2848 | |
| (707) 523-2866 |
| Full Name | Stac Physical Therapy Sonoma, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1400 N Dutton Ave Ste 1, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720707136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jeannette E Grace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114903192 PECOS PAC ID: 9739274291 Enrollment ID: I20070928000666 |
| Provider Name | Todd J Soares |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780767541 PECOS PAC ID: 9335125517 Enrollment ID: I20090122000148 |
| Provider Name | Marianne R Potts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912138686 PECOS PAC ID: 5294880787 Enrollment ID: I20090904000474 |
| Provider Name | Pretty Nagindas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659049591 PECOS PAC ID: 4385033422 Enrollment ID: I20211111001776 |
| Provider Name | Pamela Susan Butterfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356686356 PECOS PAC ID: 5294174959 Enrollment ID: I20240415003426 |
| Mailing Address | Practice Location Address |
|---|---|
| Stac Physical Therapy Sonoma, Inc. 1400 N Dutton Ave Ste 1, Santa Rosa, CA 95401-7120 Ph: (707) 523-2848 | Stac Physical Therapy Sonoma, Inc. 1400 N Dutton Ave Ste 1, Santa Rosa, CA 95401-7120 Ph: (707) 523-2848 |
Nicholas Pasadis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1400 N Dutton Ave Ste 1, Santa Rosa, CA 95401 Phone: 707-523-2848 | |
Ms. Deborah Mary Stewart, BSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 181 Leisure Park Cir, Santa Rosa, CA 95401 Phone: 707-695-5008 | |
Kurt Falkenberg, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, East Building, Suite 190, Santa Rosa, CA 95403 Phone: 707-571-3352 | |
Patrick K Kam, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2798 Yulupa Ave, #1, Santa Rosa, CA 95405 Phone: 707-527-4001 | |
Ms. Rhodan Vignaud, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3559 Round Barn Circle, Kaiser Permanente, Santa Rosa, CA 95403 Phone: 707-571-3921 | |
Dr. Christina Leisen, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 532 Sonoma Ave Apt A, Santa Rosa, CA 95401 Phone: 707-217-9157 | |
Jeffrey Peter Franceschi, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2448 Guerneville Rd, Suite 300, Santa Rosa, CA 95403 Phone: 707-573-8202 Fax: 707-573-8204 |