| Adult And Pediatric Rehabilitation | |
|
1453 N Main Street, 7, San Luis, AZ 85349 | |
| (928) 722-6050 | |
| (928) 722-6094 |
| Full Name | Adult And Pediatric Rehabilitation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1453 N Main Street, San Luis, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114274784 | NPI | - | NPPES |
| 729459 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4229 (Arizona) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | C001071 (Arizona) | Secondary |
| Provider Name | Sergio Ivan Macias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578570081 PECOS PAC ID: 9931398716 Enrollment ID: I20110110000436 |
| Provider Name | Yolanda C Benitez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578943759 PECOS PAC ID: 8820301476 Enrollment ID: I20150724012068 |
| Provider Name | Oscar Esqueda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295998318 PECOS PAC ID: 8628387917 Enrollment ID: I20151028001030 |
| Provider Name | Maria Camila Macias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386127066 PECOS PAC ID: 7315281607 Enrollment ID: I20181127001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Adult And Pediatric Rehabilitation Po Box 5841, Yuma, AZ 85366-2490 Ph: (928) 722-6050 | Adult And Pediatric Rehabilitation 1453 N Main Street, 7, San Luis, AZ 85349 Ph: (928) 722-6050 |
Ms. Robin Harrison, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1453 Main Street N, San Luis, AZ 85349 Phone: 928-627-1001 | |
Maria Camila Macias, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1233 N. Main Street, Suite 10, 11, 12, San Luis, AZ 85349 Phone: 928-722-6050 | |
Sergio I Macias, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1233 N Main Street, Suite 10, 11 & 12, San Luis, AZ 85349 Phone: 928-722-6050 Fax: 928-722-6094 |