| Ayub Khan, PT | |
|
1529 Seabright Ave, Santa Cruz, CA 95062-2528 | |
| (831) 458-6230 | |
| Not Available |
| Full Name | Ayub Khan |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1529 Seabright Ave, Santa Cruz, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316113855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PT34450 (California) | Primary |
| Entity Name | Wayne A Broberg |
|---|---|
| Entity Type | Practitioner - Physical Therapist In Private Practice |
| Entity Identifiers | NPI Number: 1982793477 PECOS PAC ID: 4688605934 Enrollment ID: I20050825000951 |
| Entity Name | Premier Sports Medicine And Physical Therapy |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1629238191 PECOS PAC ID: 7517035249 Enrollment ID: O20081008000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Ayub Khan, PT 2025 Soquel Ave, Santa Cruz, CA 95062-1323 Ph: () - | Ayub Khan, PT 1529 Seabright Ave, Santa Cruz, CA 95062-2528 Ph: (831) 458-6230 |
Jennie Jet, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1595 Soquel Dr, Ste 110, Santa Cruz, CA 95065 Phone: 831-462-9955 Fax: 831-462-4488 | |
Barbara Bargetto, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1529 Seabright Ave, Santa Cruz, CA 95062 Phone: 831-458-6230 | |
Daniel Marcus, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1595 Soquel Dr Ste 220, Santa Cruz, CA 95065 Phone: 209-603-8524 | |
Frank Jan, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1529 Seabright Ave, Santa Cruz, CA 95062 Phone: 831-458-6230 | |
Frances Dunton, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1115 Capitola Rd, Santa Cruz, CA 95062 Phone: 831-475-4055 | |
Janet Hill, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1529 Seabright Ave, Santa Cruz, CA 95062 Phone: 831-458-6230 |