| Dr Kimberly Nicole Wilson, PT, DPT | |
|
11627 Telegraph Rd Ste 105, Santa Fe Springs, CA 90670-6800 | |
| (562) 948-4004 | |
| Not Available |
| Full Name | Dr Kimberly Nicole Wilson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 11627 Telegraph Rd Ste 105, Santa Fe Springs, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013663426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT300974 (California) | Primary |
| Provider Name | Southern California Sports Rehabilitation Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568548279 PECOS PAC ID: 0941258156 Enrollment ID: O20050104001093 |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimberly Nicole Wilson, PT, DPT 12235 Heritage Springs Dr Apt 201, Santa Fe Springs, CA 90670-6928 Ph: (650) 796-9610 | Dr Kimberly Nicole Wilson, PT, DPT 11627 Telegraph Rd Ste 105, Santa Fe Springs, CA 90670-6800 Ph: (562) 948-4004 |
Dr. Rheen Chung, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12355 Azaleas Dr, Santa Fe Springs, CA 90670 Phone: 323-717-5838 | |
Medhat Mohammed Abdelrahim, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12215 Telegraph Rd, # 110, Santa Fe Springs, CA 90670 Phone: 562-777-1333 Fax: 562-777-1347 | |
Trac Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13030 Firestone Blvd, Santa Fe Springs, CA 90670 Phone: 562-921-0341 Fax: 562-404-0266 | |
Mr. Kevin Yoon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9831 Alburtis Ave Unit 34, Santa Fe Springs, CA 90670 Phone: 818-269-3248 | |
Brian Dy, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10584 Mandevilla Ct, Santa Fe Springs, CA 90670 Phone: 626-283-1526 | |
Jonathan Michael Yeh, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12215 Telegraph Rd Ste 110, #110, Santa Fe Springs, CA 90670 Phone: 562-777-1333 Fax: 562-777-1347 |