Michelle Blacklock, | |
10580 S De Anza Blvd, Cupertino, CA 95014-4450 | |
(408) 366-1735 | |
Not Available |
Full Name | Michelle Blacklock |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 10580 S De Anza Blvd, Cupertino, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548741861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT295136 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rs Wellness Physical Therapy Apc | 7214184449 | 5 |
Provider Name | Rs Wellness Physical Therapy Apc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1053686006 PECOS PAC ID: 7214184449 Enrollment ID: O20120823000307 |
Mailing Address | Practice Location Address |
---|---|
Michelle Blacklock, 5471 Laura Dr, San Jose, CA 95124-6122 Ph: (408) 348-2682 | Michelle Blacklock, 10580 S De Anza Blvd, Cupertino, CA 95014-4450 Ph: (408) 366-1735 |
Miss Alisha K Lodhia, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20823 Stevens Creek Blvd, Suite 200, Cupertino, CA 95014 Phone: 408-252-6076 Fax: 408-252-1159 | |
Nicole-ha Vo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014 Phone: 408-252-6076 Fax: 408-252-1159 | |
Mrs. Neleigh Fowler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014 Phone: 408-252-6076 Fax: 408-252-1159 | |
Tyler Jackson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20823 Stevens Creek Blvd, Cupertino, CA 95014 Phone: 408-252-6076 | |
Deborah Quinn Lemire, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20823 Stevens Creek Blvd, Suite #200, Cupertino, CA 95014 Phone: 408-252-6076 Fax: 408-252-1159 | |
Tonia Scott, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014 Phone: 408-252-6076 Fax: 408-252-1159 | |
Mrs. Anne Akemi Hall, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21269 Stevens Creek Blvd, Suite #618, Cupertino, CA 95014 Phone: 408-366-1735 Fax: 408-366-1641 |