Tanner Mccloud Roche, PT, DPT | |
3257 Camino De Los Coches Ste 301, Carlsbad, CA 92009-8974 | |
(310) 386-6788 | |
(760) 652-5134 |
Full Name | Tanner Mccloud Roche |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3257 Camino De Los Coches Ste 301, Carlsbad, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710763289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 304807 (California) | Primary |
Provider Name | Function For Life Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1568767309 PECOS PAC ID: 3678758489 Enrollment ID: O20110420000785 |
Mailing Address | Practice Location Address |
---|---|
Tanner Mccloud Roche, PT, DPT 4747 Marina Dr Apt 10, Carlsbad, CA 92008-4240 Ph: (949) 235-3951 | Tanner Mccloud Roche, PT, DPT 3257 Camino De Los Coches Ste 301, Carlsbad, CA 92009-8974 Ph: (310) 386-6788 |
Dr. Victoria Wood, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2719 Loker Ave W Ste A, Carlsbad, CA 92010 Phone: 760-918-9200 Fax: 760-918-9203 | |
Mariaandrea Garro, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2712 Madison St, Carlsbad, CA 92008 Phone: 760-729-5433 Fax: 760-729-1764 | |
Amy Gonzales, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3229 Avenida De Sueno, Carlsbad, CA 92009 Phone: 760-505-0035 | |
Erika England, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6102 Avenida Encinas, Suite E, Carlsbad, CA 92011 Phone: 760-634-9750 Fax: 760-634-9752 | |
Dr. Rachel Berman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2719 Loker Ave W Ste A, Carlsbad, CA 92010 Phone: 760-918-9200 | |
Heather Berryhill, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6070 Avenida Encinas # 100, Carlsbad, CA 92011 Phone: 760-388-6475 | |
Jenifer Walsh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7524 Gibraltar St, Unit C, Carlsbad, CA 92009 Phone: 805-795-4102 |