| Cody Shimabukuro, DPT | |
|
78078 Country Club Dr Ste 205, Bermuda Dunes, CA 92203-8175 | |
| (760) 345-9934 | |
| Not Available |
| Full Name | Cody Shimabukuro |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 78078 Country Club Dr Ste 205, Bermuda Dunes, 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 |
|---|---|---|---|
| 1346904828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT297046 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| James Mawhiney Physical Therapy Inc | 5698056042 | 6 |
| Provider Name | James Mawhiney Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851784177 PECOS PAC ID: 5698056042 Enrollment ID: O20170123001737 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Shimabukuro, DPT 8545 Sierra Ave, Fontana, CA 92335-3868 Ph: (909) 365-3557 | Cody Shimabukuro, DPT 78078 Country Club Dr Ste 205, Bermuda Dunes, CA 92203-8175 Ph: (760) 345-9934 |
Mrs. Leslie Yareli Humphrey, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 78078 Country Club Dr Ste 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 | |
Kimberly Christina Snyder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78078 Country Club Dr, Suite 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 Fax: 760-345-3086 | |
Mrs. Diana Louise Honsa, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78078 Country Club Dr, Suite 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 | |
Ms. Michelle Alwes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78078 Country Club Dr, Suite 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 | |
Dr. Craig Daniel Pillow, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 78078 Country Club Dr Ste 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 Fax: 760-345-3086 | |
Dr. Neele Holzenkaempfer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 78078 Country Club Dr Ste 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 |