| Blake Carney, PT | |
|
1922 Erringer Rd, Simi Valley, CA 93065-3525 | |
| (805) 584-0001 | |
| Not Available |
| Full Name | Blake Carney |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1922 Erringer Rd, Simi Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730673112 | NPI | - | NPPES |
| 2105549 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 304714 (California) | Primary |
| Provider Name | X2 Performance Institute Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962755694 PECOS PAC ID: 7113246828 Enrollment ID: O20150430002140 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Carney, PT 16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | Blake Carney, PT 1922 Erringer Rd, Simi Valley, CA 93065-3525 Ph: (805) 584-0001 |
Mark Mako, P.T., O.C.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2585 Cochran St, Suite A, Simi Valley, CA 93065 Phone: 805-584-0001 Fax: 805-527-9135 | |
Antonio Oribel Torres, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2034 Sebring St, Simi Valley, CA 93065 Phone: 661-342-6748 | |
Mr. Brian Carson, M.P.T., C.S.C.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Madera Rd, Suite G, Simi Valley, CA 93065 Phone: 805-306-1622 Fax: 805-306-1611 | |
Mrs. Kristin Gail Kerns, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1687 Erringer Rd, Suite 109, Simi Valley, CA 93065 Phone: 805-584-8054 Fax: 805-584-2437 | |
Molly Breckley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2525 Erringer Rd, Simi Valley, CA 93065 Phone: 805-526-2311 Fax: 805-526-6608 | |
Dr. Sean Edward Wronka, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Madera Rd Unit I-1, Simi Valley, CA 93065 Phone: 805-306-1622 | |
Synergy Physical Therapy & Wellness, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1899 Clarkia St, Simi Valley, CA 93065 Phone: 805-261-9621 |