| Via Real Physical Therapy Inc. | |
|
4180 Via Real, Suite C, Carpinteria, CA 93013-1265 | |
| (805) 566-0600 | |
| (805) 566-0637 |
| Full Name | Via Real Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4180 Via Real, Carpinteria, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598984213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT20274 (California) | Primary |
| Provider Name | William B Fisher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346357043 PECOS PAC ID: 7517867740 Enrollment ID: I20040112000580 |
| Provider Name | Omar R Flores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386981983 PECOS PAC ID: 1254578412 Enrollment ID: I20130507000080 |
| Provider Name | Kathleen M Cummings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720340227 PECOS PAC ID: 5193952083 Enrollment ID: I20131223000417 |
| Provider Name | Dylan J Fredrickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578305413 PECOS PAC ID: 2567996093 Enrollment ID: I20241106003260 |
| Mailing Address | Practice Location Address |
|---|---|
| Via Real Physical Therapy Inc. 4180 Via Real, Suite C, Carpinteria, CA 93013-1265 Ph: (805) 566-0600 | Via Real Physical Therapy Inc. 4180 Via Real, Suite C, Carpinteria, CA 93013-1265 Ph: (805) 566-0600 |
William Bryan Fisher, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4180 Via Real, Suite C, Carpinteria, CA 93013 Phone: 805-566-0600 Fax: 805-566-0637 | |
Dylan Joseph Fredrickson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5432 Carpinteria Ave, Carpinteria, CA 93013 Phone: 805-566-0600 | |
Mrs. Karen De Vera, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Maple St Ste B, Carpinteria, CA 93013 Phone: 805-275-3000 Fax: 805-456-0795 | |
Dr. Jacklyn Taylor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1960 Cate Mesa Rd, Carpinteria, CA 93013 Phone: 858-357-7960 | |
Kathleen M Cummings, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4180 Via Real Ste C, Carpinteria, CA 93013 Phone: 805-566-0600 | |
Danielle Bordenave, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 550 Maple St, B, Carpinteria, CA 93013 Phone: 805-275-3000 |