| Dba Professional Physical Therapy | |
|
26471 Crown Valley Pkwy, Ste 200, Mission Viejo, CA 92691-6378 | |
| (949) 916-2601 | |
| (949) 916-2302 |
| Full Name | Dba Professional Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 26471 Crown Valley Pkwy, Mission Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528065588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT5808 (California) | Secondary |
| 225100000X | Physical Therapist | W15939 (California) | Primary |
| Provider Name | Michael D Maga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225066657 PECOS PAC ID: 3870495187 Enrollment ID: I20040126000437 |
| Provider Name | Shannon E Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194768036 PECOS PAC ID: 1153216148 Enrollment ID: I20040218000759 |
| Provider Name | Medhat Abdelrahim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356326128 PECOS PAC ID: 4082606686 Enrollment ID: I20040401001860 |
| Provider Name | Judson P Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033260989 PECOS PAC ID: 9931203353 Enrollment ID: I20070323000558 |
| Provider Name | Nicole A Versh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356474571 PECOS PAC ID: 8921105354 Enrollment ID: I20070521000183 |
| Provider Name | Kelly A Lazor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457624884 PECOS PAC ID: 5991953507 Enrollment ID: I20120924000127 |
| Provider Name | Hannah K E Booth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780102111 PECOS PAC ID: 2264766732 Enrollment ID: I20190703001156 |
| Provider Name | Kirstyn Nm Namba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639766470 PECOS PAC ID: 9234527383 Enrollment ID: I20211022001469 |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Professional Physical Therapy 26471 Crown Valley Pkwy, Ste 200, Mission Viejo, CA 92691-6378 Ph: (949) 916-2601 | Dba Professional Physical Therapy 26471 Crown Valley Pkwy, Ste 200, Mission Viejo, CA 92691-6378 Ph: (949) 916-2601 |
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 |