| Jericho Raphael Gomez Capul, DPT | |
|
4201 W Chapman Ave, Orange, CA 92868-1505 | |
| (833) 574-2273 | |
| Not Available |
| Full Name | Jericho Raphael Gomez Capul |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 4201 W Chapman Ave, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588380133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | TBD (California) | Primary |
| Provider Name | Empower Physical Therapy And Wellness, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1649644915 PECOS PAC ID: 6002112018 Enrollment ID: O20160324000872 |
| Mailing Address | Practice Location Address |
|---|---|
| Jericho Raphael Gomez Capul, DPT 15741 Monterey Ave, Chino Hills, CA 91709-3328 Ph: (951) 314-4493 | Jericho Raphael Gomez Capul, DPT 4201 W Chapman Ave, Orange, CA 92868-1505 Ph: (833) 574-2273 |
Ray Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 388 W Tulip Tree Ave, Orange, CA 92865 Phone: 714-906-8399 | |
Star Clinic Physical Therapist Medicare: Medicare Enrolled Practice Location: 871 S Tustin St, Orange, CA 92866 Phone: 714-633-7227 Fax: 714-633-9062 | |
Mr. Chad J Nicholson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4201 W Chapman Ave, Orange, CA 92868 Phone: 714-748-6146 | |
Mr. Michael Dean Hairston, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1178 N Tustin St, Orange, CA 92867 Phone: 714-289-7790 Fax: 714-289-7786 | |
Cherie Brown, M.S.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 7732 E Santiago Canyon Rd, Orange, CA 92869 Phone: 714-771-5276 Fax: 714-771-1452 | |
Ms. Karen Rosen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 N Capri St, Orange, CA 92865 Phone: 714-458-8558 Fax: 714-637-0743 | |
Dr. Rebecca Marie Farahat, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1224 E Katella Ave, Orange, CA 92867 Phone: 714-501-7028 |