| Chaparral Physical Therapy, Inc | |
|
15555 Main St, Ste 14a, Hesperia, CA 92345-3466 | |
| (760) 244-4288 | |
| (760) 244-0300 |
| Full Name | Chaparral Physical Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 15555 Main St, Hesperia, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982630455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT12940 (California) | Primary |
| Provider Name | Tracy Leland Malan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154323020 PECOS PAC ID: 0143203794 Enrollment ID: I20040614000342 |
| Provider Name | Vernon G Spidle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962436808 PECOS PAC ID: 5395939003 Enrollment ID: I20101027000123 |
| Provider Name | Keith Ganzon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538449368 PECOS PAC ID: 2466607320 Enrollment ID: I20130226000027 |
| Provider Name | Marte F Asumen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396105532 PECOS PAC ID: 2163720608 Enrollment ID: I20160415001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Chaparral Physical Therapy, Inc 15555 Main St, Ste 14a, Hesperia, CA 92345-3466 Ph: (760) 244-4288 | Chaparral Physical Therapy, Inc 15555 Main St, Ste 14a, Hesperia, CA 92345-3466 Ph: (760) 244-4288 |
Franco Alvarez, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15235 Main St, Hesperia, CA 92345 Phone: 760-949-3388 | |
Dr. Michael Anthony Parrish, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15235 Main St, Hesperia, CA 92345 Phone: 760-949-3388 Fax: 760-949-2262 | |
Mr. James Christiansen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17095 Main St, Hesperia, CA 92345 Phone: 760-241-6666 Fax: 760-241-7575 | |
Ms. Daphne Dotterrer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15235 Main St, Hesperia, CA 92345 Phone: 760-949-3388 Fax: 760-949-2262 | |
Mrs. Stella Dejesa Mendoza, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15235 Main St, Hesperia, CA 92345 Phone: 760-949-3388 Fax: 760-949-2262 | |
Mr. Li-hsueh Chen, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11535 Balsam Ave, Hesperia, CA 92345 Phone: 631-520-8460 | |
Shahzad Mohammed Azad, P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17061 Main St, Hesperia, CA 92345 Phone: 760-956-4126 |