Nicole Kielty, | |
900 Veterans Blvd Ste 230, Redwood City, CA 94063-1740 | |
(650) 701-0390 | |
Not Available |
Full Name | Nicole Kielty |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 900 Veterans Blvd Ste 230, Redwood City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790559409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 305160 (* (Not Available)) | Primary |
Provider Name | Select Cal Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417619008 PECOS PAC ID: 4789070699 Enrollment ID: O20220401000572 |
Mailing Address | Practice Location Address |
---|---|
Nicole Kielty, 1046 Montgomery St, San Carlos, CA 94070-3220 Ph: () - | Nicole Kielty, 900 Veterans Blvd Ste 230, Redwood City, CA 94063-1740 Ph: (650) 701-0390 |
Mrs. Nadia Madeline Cooper, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-6053 | |
Mary Beth Richardson, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3940 | |
Lena Rudolph, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Arlene Mccarthy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-4059 | |
Jason Anthony Martins La Rosa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2944 Broadway, Redwood City, CA 94062 Phone: 650-261-0330 | |
Amanda Katherine So, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Veterans Blvd Ste 230, Redwood City, CA 94063 Phone: 650-701-0390 | |
Kathleen Therese Copa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1779 Woodside Rd, Suite #102, Redwood City, CA 94061 Phone: 650-780-9700 |