| California Orthopedic & Sports Therapy Rehabilitation Services, Inc. | |
|
6193 Soquel Dr, Aptos, CA 95003-3116 | |
| (831) 462-1212 | |
| (831) 462-1221 |
| Full Name | California Orthopedic & Sports Therapy Rehabilitation Services, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Sports |
| Location | 6193 Soquel Dr, Aptos, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417164328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | PT13181 (California) | Primary |
| Provider Name | Gerald C Van Dyke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659318673 PECOS PAC ID: 7618030826 Enrollment ID: I20090114000734 |
| Provider Name | Ismansjah Soekardi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215054721 PECOS PAC ID: 5799814836 Enrollment ID: I20100527000317 |
| Mailing Address | Practice Location Address |
|---|---|
| California Orthopedic & Sports Therapy Rehabilitation Services, Inc. 6193 Soquel Dr, Aptos, CA 95003-3116 Ph: (831) 462-1212 | California Orthopedic & Sports Therapy Rehabilitation Services, Inc. 6193 Soquel Dr, Aptos, CA 95003-3116 Ph: (831) 462-1212 |
Mohan Micheal Siegel, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Hyannis Ct, Aptos, CA 95003 Phone: 831-600-6214 | |
Sanna Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7539 Soquel Drive, Aptos, CA 95003 Phone: 831-688-1332 | |
Mrs. Kimberly Ann Barry, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2505c Cabrillo College Dr., Aptos, CA 95003 Phone: 831-464-3901 Fax: 831-464-3010 | |
Dr. Daniel Edward Campbell, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2505 Cabrillo College Dr, Aptos, CA 95003 Phone: 831-464-3901 | |
Mr. Kevin Eugene Howard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7575 Soquel Dr, Aptos, CA 95003 Phone: 831-688-5156 | |
Hina Shaikh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7887 Soquel Dr, Aptos, CA 95003 Phone: 831-662-4547 | |
Ismansjah Soekardi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6193 Soquel Drive, Aptos, CA 95003 Phone: 831-462-1212 Fax: 831-462-1221 |