| Dylan Joseph Fredrickson, PT, DPT | |
|
5432 Carpinteria Ave, Carpinteria, CA 93013-1423 | |
| (805) 566-0600 | |
| Not Available |
| Full Name | Dylan Joseph Fredrickson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5432 Carpinteria Ave, Carpinteria, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578305413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 306060 (California) | Primary |
| Provider Name | Via Real Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1598984213 PECOS PAC ID: 8224135439 Enrollment ID: O20070523000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Dylan Joseph Fredrickson, PT, DPT 2528 Lexington Dr, Ventura, CA 93003-1517 Ph: () - | Dylan Joseph Fredrickson, PT, DPT 5432 Carpinteria Ave, Carpinteria, CA 93013-1423 Ph: (805) 566-0600 |
William Bryan Fisher, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4180 Via Real, Suite C, Carpinteria, CA 93013 Phone: 805-566-0600 Fax: 805-566-0637 | |
Mrs. Karen De Vera, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Maple St Ste B, Carpinteria, CA 93013 Phone: 805-275-3000 Fax: 805-456-0795 | |
Via Real Physical Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 4180 Via Real, Suite C, Carpinteria, CA 93013 Phone: 805-566-0600 Fax: 805-566-0637 | |
Dr. Jacklyn Taylor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1960 Cate Mesa Rd, Carpinteria, CA 93013 Phone: 858-357-7960 | |
Kathleen M Cummings, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4180 Via Real Ste C, Carpinteria, CA 93013 Phone: 805-566-0600 | |
Danielle Bordenave, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 550 Maple St, B, Carpinteria, CA 93013 Phone: 805-275-3000 |