| Diablo West Sports Medicine | |
|
3550 Alameda De Las Pulgas, Menlo Park, CA 94025-6559 | |
| (650) 926-9413 | |
| (650) 926-9414 |
| Full Name | Diablo West Sports Medicine |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Sports |
| Location | 3550 Alameda De Las Pulgas, Menlo Park, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225156524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | PT20470 (California) | Primary |
| Provider Name | John K Barman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831217215 PECOS PAC ID: 3971498833 Enrollment ID: I20040218001198 |
| Provider Name | Kim J Jespersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508224353 PECOS PAC ID: 1850281858 Enrollment ID: I20040315001644 |
| Provider Name | Nicole M D Acquisto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639299365 PECOS PAC ID: 2264418789 Enrollment ID: I20040625000752 |
| Provider Name | Lisa A Riedle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619095007 PECOS PAC ID: 2961459201 Enrollment ID: I20050407001072 |
| Provider Name | Megan L Eorio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689688483 PECOS PAC ID: 1254335490 Enrollment ID: I20060831000224 |
| Provider Name | Jennifer Delaney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689734360 PECOS PAC ID: 4981706322 Enrollment ID: I20070302000464 |
| Provider Name | Eric M Sargent |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669486163 PECOS PAC ID: 4880589746 Enrollment ID: I20080716000874 |
| Provider Name | Brooke L Wyatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720355852 PECOS PAC ID: 9133381296 Enrollment ID: I20120507000558 |
| Provider Name | Angie Tinson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053607374 PECOS PAC ID: 1254597651 Enrollment ID: I20120731000178 |
| Provider Name | Danlel R Keller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083029326 PECOS PAC ID: 4789908930 Enrollment ID: I20150119000762 |
| Provider Name | Mary A Kalayta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487069399 PECOS PAC ID: 5799085924 Enrollment ID: I20151119002542 |
| Provider Name | Kimberly M Courtney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467812750 PECOS PAC ID: 2567753635 Enrollment ID: I20160621000319 |
| Provider Name | Sabrina Shin-ying Pai |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679923981 PECOS PAC ID: 6901192566 Enrollment ID: I20160907002068 |
| Provider Name | David S Kurbatsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295288488 PECOS PAC ID: 2567759632 Enrollment ID: I20160919000791 |
| Provider Name | Laura M Kitlas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538434253 PECOS PAC ID: 4688836091 Enrollment ID: I20170315000004 |
| Provider Name | Jason Kakuzo Ichimaru |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922514124 PECOS PAC ID: 2860741873 Enrollment ID: I20180824001539 |
| Provider Name | Weston L Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619434412 PECOS PAC ID: 8426399775 Enrollment ID: I20190415000618 |
| Provider Name | Megan L Friske |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851900724 PECOS PAC ID: 0648695957 Enrollment ID: I20200804001473 |
| Provider Name | Gregory C Moses |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033789045 PECOS PAC ID: 4486058799 Enrollment ID: I20210809003608 |
| Provider Name | Justin Khuu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780254516 PECOS PAC ID: 1254739436 Enrollment ID: I20211004000637 |
| Provider Name | Lauren E Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689330102 PECOS PAC ID: 4385034800 Enrollment ID: I20211123003112 |
| Provider Name | Curtis A Hansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659027266 PECOS PAC ID: 6800281676 Enrollment ID: I20220314000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Diablo West Sports Medicine 3550 Alameda De Las Pulgas, Menlo Park, CA 94025-6559 Ph: (650) 926-9413 | Diablo West Sports Medicine 3550 Alameda De Las Pulgas, Menlo Park, CA 94025-6559 Ph: (650) 926-9413 |
Dr. Lindsey Solomon, PT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1900 El Camino Real Ste A, Menlo Park, CA 94027 Phone: 954-461-4913 | |
Kathryn Elliott Reitman, PT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 885 Oak Grove Ave, Ste. 101, Menlo Park, CA 94025 Phone: 650-328-2250 Fax: 650-328-2256 | |
Kenneth Barcelona, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 Willow Rd, Menlo Park, CA 94025 Phone: 866-839-6979 | |
Dr. Justin Hong, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd Bldg 334, Menlo Park, CA 94025 Phone: 650-614-9997 | |
Mrs. Margaret A Givens, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd, Room E-106, Bldg 334, Menlo Park, CA 94025 Phone: 650-493-5000 Fax: 650-614-9856 | |
Athena Henley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 Willow Rd, Menlo Park, CA 94025 Phone: 866-839-6979 | |
Gregory Charles Moses, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3550 Alameda De Las Pulgas, Menlo Park, CA 94025 Phone: 650-926-9413 |