Brent A Talley, DPT | |
2777 Bristol St Ste B, Costa Mesa, CA 92626 | |
(949) 250-1112 | |
Not Available |
Full Name | Brent A Talley |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 2777 Bristol St Ste B, Costa Mesa, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528553864 | NPI | - | NPPES |
294986 | Other | CA | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 294986 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sports Conditioning And Rehabilitation Of California Inc | 2365512365 | 8 |
Provider Name | Sports Conditioning And Rehabilitation Of California Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1013047240 PECOS PAC ID: 2365512365 Enrollment ID: O20080603000327 |
Provider Name | Prosport Physical Therapy Professionals Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1073170437 PECOS PAC ID: 0749510634 Enrollment ID: O20200304001273 |
Mailing Address | Practice Location Address |
---|---|
Brent A Talley, DPT 16009 Legacy Rd Unit 301, Tustin, CA 92782-2805 Ph: (408) 841-6777 | Brent A Talley, DPT 2777 Bristol St Ste B, Costa Mesa, CA 92626 Ph: (949) 250-1112 |
Ms. Elizabeth M Byrne, M.P.T.,A.T.C. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Adams Ave, Suite 201, Costa Mesa, CA 92626 Phone: 714-556-1600 Fax: 714-556-3737 | |
Caroline A Teets, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1112 Fax: 949-250-1404 | |
Mr. Kurt Justin Nofziger, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2651 Irvine Ave, Suite 128, Costa Mesa, CA 92627 Phone: 949-722-8811 Fax: 949-722-9911 | |
Mr. Johnathan Loquasto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 Harbor Blvd Ste F5, Costa Mesa, CA 92626 Phone: 714-540-6792 Fax: 714-540-6794 | |
Kevin Castillo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1122 | |
Haining Su, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1640 Newport Blvd Ste 260, Costa Mesa, CA 92627 Phone: 949-335-7967 | |
Mrs. Michele Leann Elvander, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3124 Taft Way, Costa Mesa, CA 92626 Phone: 562-397-4871 |