| Todd Fader, OT | |
|
79440 Corporate Center Dr Ste 112, La Quinta, CA 92253-7243 | |
| (760) 771-9054 | |
| (760) 771-9057 |
| Full Name | Todd Fader |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 79440 Corporate Center Dr Ste 112, La Quinta, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003642414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 26870 (California) | Primary |
| Provider Name | All Star Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750559431 PECOS PAC ID: 7719030949 Enrollment ID: O20090812000451 |
| Provider Name | Sand Coast Rehab Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Fader, OT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: () - | Todd Fader, OT 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253-7243 Ph: (760) 771-9054 |
Frances Palmer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 51321 Avenida Bermudas, 1655, La Quinta, CA 92247 Phone: 760-564-8121 | |
Veronica Ennis, OTD, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253 Phone: 760-771-9054 Fax: 760-771-9057 | |
Aegis Group Practice Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 45190 Seeley Dr, La Quinta, CA 92253 Phone: 760-625-7463 Fax: 479-935-8762 | |
Aegis Group Practice, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 45160 Seeley Dr, La Quinta, CA 92253 Phone: 800-444-6845 Fax: 479-478-2852 | |
Aaron David Miller, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253 Phone: 760-771-9054 Fax: 760-771-9057 | |
Brianne Melancon, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 47372 Poppy Ln, La Quinta, CA 92253 Phone: 985-804-1921 |