Trevor Dimich, | |
39180 Farwell Dr Ste 101, Fremont, CA 94538-1015 | |
(510) 438-0294 | |
Not Available |
Full Name | Trevor Dimich |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 39180 Farwell Dr Ste 101, Fremont, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093460701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 301771 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sport Clinic Inc | 1153329883 | 3 |
Provider Name | Sport Clinic Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1497771901 PECOS PAC ID: 1153329883 Enrollment ID: O20061113000467 |
Mailing Address | Practice Location Address |
---|---|
Trevor Dimich, 1166 Seaside Way, Milpitas, CA 95035-2408 Ph: (408) 332-1891 | Trevor Dimich, 39180 Farwell Dr Ste 101, Fremont, CA 94538-1015 Ph: (510) 438-0294 |
Shweta Prakash Sadalge, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1895 Mowry Ave, Suite #118a, Fremont, CA 94538 Phone: 510-790-0383 Fax: 510-790-1197 | |
Ina Fitzgibbon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39210 State St, Ste 202, Fremont, CA 94538 Phone: 415-420-6127 | |
Judy Nalanganeagleton, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3200 | |
Mr. Kyle Takeo Tanamachi, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3504 | |
Katharin Kaczor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3800 Walnut Ave, #303b, Fremont, CA 94538 Phone: 510-742-9580 | |
Anju Sharma, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2942 Cheswycke Ter, Apt 157, Fremont, CA 94536 Phone: 602-773-1058 | |
Anuradha Hajarnis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 39210 State St, Fremont, CA 94538 Phone: 510-790-9480 |