| Dr John Kudreyko Iii, PT,DPT,CSCS | |
|
568 N Sunrise Ave Ste 250, Roseville, CA 95661-3097 | |
| (916) 865-1100 | |
| (916) 865-1105 |
| Full Name | Dr John Kudreyko Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 9 Years |
| Location | 568 N Sunrise Ave Ste 250, Roseville, 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 |
|---|---|---|---|
| 1730691627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT294289 (California) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | 3614 (Nevada) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Performance Physical Therapy And Rehabilitation Inc | 8325049745 | 5 |
| Sutter Valley Medical Foundation | 9830094515 | 2449 |
| Provider Name | Advanced Performance Physical Therapy And Rehabilitation Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1720023658 PECOS PAC ID: 8325049745 Enrollment ID: O20070126000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Kudreyko Iii, PT,DPT,CSCS Po Box 255228, Sacramento, CA 95865-5228 Ph: (800) 470-0071 | Dr John Kudreyko Iii, PT,DPT,CSCS 568 N Sunrise Ave Ste 250, Roseville, CA 95661-3097 Ph: (916) 865-1100 |
Rebecca S Brooks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 568 N Sunrise Ave, Suite 100, Roseville, CA 95661 Phone: 916-781-5188 Fax: 916-781-5187 | |
Mr. Bryce Phillip Cartwright, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4954 | |
Armen Bryan Cuadra, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 Lava Ridge Ct, Suite 330, Roseville, CA 95661 Phone: 916-367-9909 | |
Michael Mclain, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Eureka Rd, Roseville, CA 95661 Phone: 916-782-2761 Fax: 916-751-2430 | |
Dr. Hung John Nguyen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 568 N Sunrise Ave Ste 180, Roseville, CA 95661 Phone: 916-865-1100 | |
Ikea Zorie Alexandra Clark, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 151 N Sunrise Ave, Roseville, CA 95661 Phone: 916-720-2067 | |
Ms. Hope Marilyn Broman, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1161 Cirby Way, Roseville, CA 95661 Phone: 916-782-1238 |