| Dr Justin Banks, PT, DPT | |
|
500 Quintana Rd, Morro Bay, CA 93442-1938 | |
| (805) 772-7358 | |
| Not Available |
| Full Name | Dr Justin Banks |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 500 Quintana Rd, Morro Bay, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629158936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 34912 (California) | Primary |
| Provider Name | Eugene Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992796452 PECOS PAC ID: 0345221065 Enrollment ID: O20040527001391 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Banks, PT, DPT 9540 Azor Ln, Atascadero, CA 93422-6146 Ph: (919) 423-8942 | Dr Justin Banks, PT, DPT 500 Quintana Rd, Morro Bay, CA 93442-1938 Ph: (805) 772-7358 |
Marissa Marie Cotroneo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Stephen Kerr, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Lois Boulgarides, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Orion Heil Hollings, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Michael James Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Eric Balash, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Dr. Alec Shahen Andoyan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 |