Stephen Matthew Willey, PT | |
4601 Dale Rd, Modesto, CA 95356-9718 | |
(209) 735-4080 | |
(209) 735-4060 |
Full Name | Stephen Matthew Willey |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4601 Dale Rd, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912998311 | NPI | - | NPPES |
OPT256710 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT25761 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Stephen Matthew Willey, PT 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-4080 | Stephen Matthew Willey, PT 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-4080 |
Ms. Manpreet Kaur Sheabat, PA Physical Therapist Medicare: Medicare Enrolled Practice Location: 2401 E Orangeburg Ave Ste 330, Modesto, CA 95355 Phone: 209-726-7381 | |
Mr. Richard Russell Cox, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 17th St, Ste 202, Modesto, CA 95354 Phone: 209-572-4263 Fax: 209-572-0132 | |
Core Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 122 W Granger Ave, Modesto, CA 95350 Phone: 209-522-2673 Fax: 209-522-2955 | |
Kathleen M Clarke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 830 Scenic Dr, Modesto, CA 95350 Phone: 209-558-7483 | |
Mr. Scott Leyton Hattersley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd., Modesto, CA 95356 Phone: 209-735-4043 Fax: 209-735-4091 | |
Amy Michelle Halley, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-4039 | |
Elixir Home Health Care & Hospice,inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1935 G St, Modesto, CA 95354 Phone: 209-369-5110 Fax: 209-369-5130 |