| Dr Taylor Stuckly, PT, DPT | |
|
1500 Adams Ave Ste 104a, Costa Mesa, CA 92626-3864 | |
| (657) 600-8320 | |
| Not Available |
| Full Name | Dr Taylor Stuckly |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1500 Adams Ave Ste 104a, Costa Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518441468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT295448 (California) | Primary |
| Provider Name | Repair Nb Physical Therapy, Corp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1134622111 PECOS PAC ID: 2860732922 Enrollment ID: O20190731003639 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Taylor Stuckly, PT, DPT 619 Oceanhill Dr, Huntington Beach, CA 92648-3764 Ph: () - | Dr Taylor Stuckly, PT, DPT 1500 Adams Ave Ste 104a, Costa Mesa, CA 92626-3864 Ph: (657) 600-8320 |
Ms. Elizabeth M Byrne, M.P.T.,A.T.C. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Adams Ave, Suite 201, Costa Mesa, CA 92626 Phone: 714-556-1600 Fax: 714-556-3737 | |
Caroline A Teets, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1112 Fax: 949-250-1404 | |
Mr. Kurt Justin Nofziger, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2651 Irvine Ave, Suite 128, Costa Mesa, CA 92627 Phone: 949-722-8811 Fax: 949-722-9911 | |
Mr. Johnathan Loquasto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 Harbor Blvd Ste F5, Costa Mesa, CA 92626 Phone: 714-540-6792 Fax: 714-540-6794 | |
Kevin Castillo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1122 | |
Haining Su, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1640 Newport Blvd Ste 260, Costa Mesa, CA 92627 Phone: 949-335-7967 | |
Mrs. Michele Leann Elvander, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3124 Taft Way, Costa Mesa, CA 92626 Phone: 562-397-4871 |