Trent Shaw, PT | |
26691 Plaza Ste 201, Mission Viejo, CA 92691-8582 | |
(949) 716-5050 | |
Not Available |
Full Name | Trent Shaw |
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Gender | Male |
Speciality | Physical Therapist |
Location | 26691 Plaza Ste 201, Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861100356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 302983 (California) | Primary |
Provider Name | California Rehabilitation & Sports Therapy A California Physical Ther |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386696409 PECOS PAC ID: 6709788896 Enrollment ID: O20040120001115 |
Provider Name | Artisan Foot And Ankle Podiatric Specialists Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235452335 PECOS PAC ID: 9234254061 Enrollment ID: O20100916000288 |
Mailing Address | Practice Location Address |
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Trent Shaw, PT 26691 Plaza Ste 201, Mission Viejo, CA 92691-8582 Ph: (949) 761-5050 | Trent Shaw, PT 26691 Plaza Ste 201, Mission Viejo, CA 92691-8582 Ph: (949) 716-5050 |
Carlos Alfredo Lavayen, DPT ECS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26691 Plaza Drive Ste 205, Mission Viejo, CA 92691 Phone: 949-367-1088 Fax: 949-367-1042 | |
Petra S Place, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25982 Pala, Suite 230, Mission Viejo, CA 92691 Phone: 949-600-8812 | |
Brian Gregory Boone, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27401 Los Altos, Suite 485, Mission Viejo, CA 92691 Phone: 949-716-3930 | |
Southland Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25565 Jeronimo Rd, Mission Viejo, CA 92691 Phone: 949-627-8800 Fax: 949-627-8801 | |
Jazmin Kan, PT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25565 Jeronimo Rd, Mission Viejo, CA 92691 Phone: 949-627-8800 | |
Edward Joseph Kearns Iii, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26561 Aracena Dr, Mission Viejo, CA 92691 Phone: 302-388-3067 | |
Mrs. Laurie Layton Boulware, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26921 Crown Valley Pkwy, Suite 120, Mission Viejo, CA 92691 Phone: 949-582-2555 |