| Dr Graig Gubello, DPT | |
|
737 Pearl St, Suite 108, La Jolla, CA 92037-0056 | |
| (858) 456-2114 | |
| (858) 456-2103 |
| Full Name | Dr Graig Gubello |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 737 Pearl St, La Jolla, 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 |
|---|---|---|---|
| 1316336621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 42131 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mizuta And Associates Physical Therapy Inc | 2163572629 | 3 |
| Colorado In Motion Llc | 9931515483 | 33 |
| Provider Name | Mizuta & Associates Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376783076 PECOS PAC ID: 2163572629 Enrollment ID: O20090604000411 |
| Provider Name | Graig Gubello Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1447090782 PECOS PAC ID: 8325586019 Enrollment ID: O20240813001379 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Graig Gubello, DPT 1562 Linwood St, San Diego, CA 92103-3729 Ph: () - | Dr Graig Gubello, DPT 737 Pearl St, Suite 108, La Jolla, CA 92037-0056 Ph: (858) 456-2114 |
Vanessa Rose True, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9400 Campus Point Dr Fl 2, La Jolla, CA 92093 Phone: 858-543-0333 | |
Stephanie Borden, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5580 La Jolla Blvd # 47, La Jolla, CA 92037 Phone: 559-977-6316 | |
Lisa Buth, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave Ste 110, La Jolla, CA 92037 Phone: 858-626-5546 | |
Kathryn Mitchell Moscovitch, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4150 Regents Park Row, #365, La Jolla, CA 92037 Phone: 858-587-8669 Fax: 858-857-8675 | |
Jennifer Nicole Wegner Fasching, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5759 La Jolla Blvd, La Jolla, CA 92037 Phone: 858-255-0092 | |
Katiya Karczewski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 855-543-0333 | |
William A Kosik, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 4150 Regents Park Row, #365, La Jolla, CA 92037 Phone: 858-657-8199 Fax: 858-657-8170 |