| Kevin Stahl, PT, DPT | |
|
1392 E Palomar St Ste 503, Chula Vista, CA 91913-1895 | |
| (619) 482-3000 | |
| Not Available |
| Full Name | Kevin Stahl |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 1392 E Palomar St Ste 503, Chula Vista, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760194302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 303251 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Performance Plus Physical Therapy, Inc. | 1850668773 | 21 |
| Entity Name | Performance Plus Physical Therapy, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144766064 PECOS PAC ID: 1850668773 Enrollment ID: O20170525000621 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Stahl, PT, DPT 1884 Aquamarine Ct Unit 6, Chula Vista, CA 91913-8336 Ph: (858) 602-2767 | Kevin Stahl, PT, DPT 1392 E Palomar St Ste 503, Chula Vista, CA 91913-1895 Ph: (619) 482-3000 |
Mrs. Desiree Marie Saylor Harguess, D.P.T. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3450 Bonita Rd Ste 105, Chula Vista, CA 91910 Phone: 619-425-1084 Fax: 619-425-1084 | |
Haewon Lee, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 480 H St Fl 2, Chula Vista, CA 91910 Phone: 619-585-4050 Fax: 619-585-4054 | |
Dr. Laicee Grahek, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 320 Broadway Ste 2, Chula Vista, CA 91910 Phone: 619-422-0404 Fax: 619-422-0404 |