| Advanced Performance Physical Therapy And Rehabilitation, Inc | |
|
1201 E. Ocean Avenue, Ste. A, Lompoc, CA 93436 | |
| (805) 735-8365 | |
| (805) 735-2604 |
| Full Name | Advanced Performance Physical Therapy And Rehabilitation, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1201 E. Ocean Avenue, Ste. A, Lompoc, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720023658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT26087 (California) | Primary |
| Provider Name | Caleb W Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225077738 PECOS PAC ID: 2668497090 Enrollment ID: I20070126000352 |
| Provider Name | Owen Michael Johnston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841667771 PECOS PAC ID: 5799084356 Enrollment ID: I20160503001201 |
| Provider Name | Nicholas Osberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750771150 PECOS PAC ID: 3072839950 Enrollment ID: I20170217000617 |
| Provider Name | John Paul Kudreyko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730691627 PECOS PAC ID: 6608122841 Enrollment ID: I20180702001695 |
| Provider Name | Oliver C Nuique |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003363037 PECOS PAC ID: 4587943691 Enrollment ID: I20190910002984 |
| Provider Name | Abby Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568963155 PECOS PAC ID: 6406119445 Enrollment ID: I20191110000001 |
| Provider Name | Dana Mckenzie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740832872 PECOS PAC ID: 1153756390 Enrollment ID: I20200116002483 |
| Provider Name | Kelly Weatherby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104336916 PECOS PAC ID: 6800213265 Enrollment ID: I20200831001106 |
| Provider Name | Martin Shields Weatherby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922537836 PECOS PAC ID: 2466722913 Enrollment ID: I20200909000957 |
| Provider Name | Stuart Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134540735 PECOS PAC ID: 2365730637 Enrollment ID: I20210211002522 |
| Provider Name | Katherine D Ambrosia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700253689 PECOS PAC ID: 7911215314 Enrollment ID: I20210215000620 |
| Provider Name | Bill Djire |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770166100 PECOS PAC ID: 5698174035 Enrollment ID: I20210604001012 |
| Provider Name | Nicholas Geoffrey Rapport |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730643164 PECOS PAC ID: 0749686707 Enrollment ID: I20210831001994 |
| Provider Name | Kristin Marie Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598220634 PECOS PAC ID: 9739585449 Enrollment ID: I20210903001958 |
| Provider Name | Shawn Michael Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912672593 PECOS PAC ID: 4284023292 Enrollment ID: I20211112001891 |
| Provider Name | Malena Lennon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215682703 PECOS PAC ID: 2365837671 Enrollment ID: I20221021002240 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Performance Physical Therapy And Rehabilitation, Inc 1201 E. Ocean Avenue, Ste. A, Lompoc, CA 93436 Ph: (805) 735-8365 | Advanced Performance Physical Therapy And Rehabilitation, Inc 1201 E. Ocean Avenue, Ste. A, Lompoc, CA 93436 Ph: (805) 735-8365 |
Jeremy Mitchell, Physical Therapist Medicare: Medicare Enrolled Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 | |
Juanita L. Carnahan, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 Fax: 805-736-6392 | |
Carnahan Therapy/the Work Center, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 Fax: 805-736-6392 | |
Kaylee Jarvis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N H St, Lompoc, CA 93436 Phone: 805-737-8700 | |
Timothy A. Marozick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N H St, Lompoc, CA 93436 Phone: 805-681-1761 Fax: 805-681-1768 | |
Meaghan O'leary, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 | |
Mrs. Danielle Theone Wiswall, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 177 Vulcan Dr, Lompoc, CA 93436 Phone: 805-733-7500 Fax: 805-733-7510 |