| Brett J Longo, RPT | |
|
27075 Sunningdale Way, Valley Center, CA 92082-6642 | |
| (760) 297-4674 | |
| (760) 749-2556 |
| Full Name | Brett J Longo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 27075 Sunningdale Way, Valley Center, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407956329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT20230 (California) | Primary |
| Provider Name | Longo Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962114702 PECOS PAC ID: 1052847233 Enrollment ID: O20241211002400 |
| Mailing Address | Practice Location Address |
|---|---|
| Brett J Longo, RPT 27075 Sunningdale Way, Valley Center, CA 92082-6642 Ph: (760) 297-4674 | Brett J Longo, RPT 27075 Sunningdale Way, Valley Center, CA 92082-6642 Ph: (760) 297-4674 |
Cindy Marcon, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13445 Hilldale Rd, Valley Center, CA 92082 Phone: 760-207-0632 Fax: 760-888-9234 | |
More Than Physical Therapy Health Services Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27075 Sunningdale Way, Valley Center, CA 92082 Phone: 760-297-4674 Fax: 760-749-2556 | |
Kimberly Dawn Takaoka-martineau, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13521 Corral Ct, Valley Center, CA 92082 Phone: 626-375-8445 |