| Brockton Physical Therapy | |
|
3908 10th St, Riverside, CA 92501-3522 | |
| (951) 274-7744 | |
| (951) 274-7754 |
| Full Name | Brockton Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3908 10th St, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780662718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4384172S (California) | Primary |
| Provider Name | Trevyn L Despain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063490092 PECOS PAC ID: 0749179422 Enrollment ID: I20040311000832 |
| Provider Name | Rachel R Buivids |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003136482 PECOS PAC ID: 7214150697 Enrollment ID: I20140604000249 |
| Provider Name | Jason Eric Herrera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003559642 PECOS PAC ID: 1850788217 Enrollment ID: I20220503002781 |
| Provider Name | Brandon A Delle Donne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043051428 PECOS PAC ID: 0143763722 Enrollment ID: I20240624004193 |
| Provider Name | Hailey Ann Solis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770324139 PECOS PAC ID: 3971046483 Enrollment ID: I20240625000393 |
| Provider Name | Andrew Vo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629920608 PECOS PAC ID: 0244713634 Enrollment ID: I20260313001880 |
| Mailing Address | Practice Location Address |
|---|---|
| Brockton Physical Therapy 3908 10th St, Riverside, CA 92501-3522 Ph: (951) 274-7744 | Brockton Physical Therapy 3908 10th St, Riverside, CA 92501-3522 Ph: (951) 274-7744 |
Mrs. Deanna Michelle Vizon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507 Phone: 951-653-4480 Fax: 951-653-5051 |
Anocha Suphol, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Magnolia Ave, Riverside, CA 92501 Phone: 951-274-3524 Fax: 951-274-3442 |
Lindsay Aho, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744 Fax: 951-274-7754 |
Theodore Ronald Oliver, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402 Fax: 951-848-9676 |
Joy Shiba, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402 |
Jason Eric Herrera, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744 |
Kevin Wu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3421 Arlington Ave Ste 105, Riverside, CA 92506 Phone: 951-684-2865 |