Brockton Physical Therapy - Medicare Physical Therapist in Riverside, CA

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Brockton Physical Therapy is a medicare enrolled "Physical Therapist" provider in Riverside, California. Their current practice location is 3908 10th St, Riverside, California. You can reach out to their office (for appointments etc.) via phone at (951) 274-7744.

Brockton Physical Therapy is licensed to practice in California (license number 4384172S) and it also participates in the medicare program. Brockton Physical Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1780662718.

Contact Information

Brockton Physical Therapy
3908 10th St,
Riverside, CA 92501-3522
(951) 274-7744
(951) 274-7754

Map and Direction




Healthcare Provider's Profile

Full NameBrockton Physical Therapy
TypeFacility
SpecialityPhysical Therapist
Location3908 10th St, Riverside, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780662718
  • Provider Enumeration Date: 01/09/2006
  • Last Update Date: 08/10/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3274422951
  • Enrollment ID: O20040311000781

Medical Identifiers

Medical identifiers for Brockton Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780662718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 4384172S (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Brockton Physical Therapy acts as a billing entity for following providers:
Provider NameTrevyn L Despain
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063490092
PECOS PAC ID: 0749179422
Enrollment ID: I20040311000832
Provider NameJennifer L Fernandez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205130259
PECOS PAC ID: 2961685284
Enrollment ID: I20110324000262
Provider NameMichelle A Mach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316205693
PECOS PAC ID: 1456509405
Enrollment ID: I20120917000178
Provider NameRachel R Buivids
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003136482
PECOS PAC ID: 7214150697
Enrollment ID: I20140604000249
Provider NameLaura Brennan O'lannerghty
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093239477
PECOS PAC ID: 5193099646
Enrollment ID: I20170921001660
Provider NameCiara Jean Scott
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285117218
PECOS PAC ID: 0042562233
Enrollment ID: I20181017000609
Provider NameJason Eric Herrera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003559642
PECOS PAC ID: 1850788217
Enrollment ID: I20220503002781

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brockton Physical Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brockton Physical Therapy
3908 10th St,
Riverside, CA 92501-3522

Ph: (951) 274-7744		Brockton Physical Therapy
3908 10th St,
Riverside, CA 92501-3522

Ph: (951) 274-7744

Reviews and Comments


Physical Therapist in Riverside, CA

Mrs. Deanna Michelle Vizon, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507
Phone: 951-653-4480    Fax: 951-653-5051
Anocha Suphol, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4444 Magnolia Ave, Riverside, CA 92501
Phone: 951-274-3524    Fax: 951-274-3442
Lindsay Aho, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3908 10th St, Riverside, CA 92501
Phone: 951-274-7744    Fax: 951-274-7754
Theodore Ronald Oliver, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 17050 Arnold Dr, Riverside, CA 92518
Phone: 833-399-1402    Fax: 951-848-9676
Joy Shiba, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 17050 Arnold Dr, Riverside, CA 92518
Phone: 833-399-1402    
Jason Eric Herrera, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3908 10th St, Riverside, CA 92501
Phone: 951-274-7744    
Kevin Wu, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3421 Arlington Ave Ste 105, Riverside, CA 92506
Phone: 951-684-2865    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.