| State College Physical Therapy Inc | |
|
500 S Anaheim Hills Rd, Suite 106, Anaheim, CA 92807-4780 | |
| (714) 685-0700 | |
| (714) 685-9916 |
| Full Name | State College Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 500 S Anaheim Hills Rd, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689782310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT9743 (California) | Primary |
| Provider Name | Parivash F Oreizy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043231277 PECOS PAC ID: 6002888625 Enrollment ID: I20040812000583 |
| Provider Name | Ginelle V Fajardo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245338102 PECOS PAC ID: 2961409750 Enrollment ID: I20061109000272 |
| Provider Name | Don D Hoang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366053423 PECOS PAC ID: 0042692295 Enrollment ID: I20221005001959 |
| Provider Name | Joshua Rasmussen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588121271 PECOS PAC ID: 6800278128 Enrollment ID: I20221006001702 |
| Provider Name | Amer De Veyra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891594347 PECOS PAC ID: 4082131339 Enrollment ID: I20250509000756 |
| Mailing Address | Practice Location Address |
|---|---|
| State College Physical Therapy Inc 500 S Anaheim Hills Rd, Suite 106, Anaheim, CA 92807-4780 Ph: (714) 685-0700 | State College Physical Therapy Inc 500 S Anaheim Hills Rd, Suite 106, Anaheim, CA 92807-4780 Ph: (714) 685-0700 |
Jeremy K Simmons, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 N Euclid St, Suite 680, Anaheim, CA 92801 Phone: 714-780-0010 Fax: 714-780-0050 | |
Jason Matthew Funke, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 S Anaheim Blvd, Anaheim, CA 92805 Phone: 714-937-1919 | |
Sheryl Gonzales Ante, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 761 S Melrose St, Anaheim, CA 92805 Phone: 714-658-6321 | |
Rhodora T Intal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N Magnolia Ave, Anaheim, CA 92801 Phone: 714-484-1280 | |
Jennifer Greene, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 N Euclid St, Ste 680, Anaheim, CA 92801 Phone: 714-780-0010 Fax: 714-780-0050 | |
Dr. Alexandra Frediani Fakih, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 505 N Euclid St Ste 680, Anaheim, CA 92801 Phone: 714-780-0010 | |
Parivash F Oreizy, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 S Anaheim Hills Rd, Suite 106, Anaheim, CA 92807 Phone: 714-685-0700 Fax: 714-685-9916 |