| Ellen Dale, PT, DPT | |
|
2711 E Coast Hwy, Suite 206, Corona Del Mar, CA 92625-2104 | |
| (949) 675-2922 | |
| (949) 675-2992 |
| Full Name | Ellen Dale |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 18 Years |
| Location | 2711 E Coast Hwy, Corona Del Mar, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376702373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 34119 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kinetik Physical Therapy Inc | 7911381207 | 4 |
| Provider Name | Kinetik Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396478616 PECOS PAC ID: 7911381207 Enrollment ID: O20220906002208 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Dale, PT, DPT 2711 E Coast Hwy, Suite 206, Corona Del Mar, CA 92625-2104 Ph: () - | Ellen Dale, PT, DPT 2711 E Coast Hwy, Suite 206, Corona Del Mar, CA 92625-2104 Ph: (949) 675-2922 |
Brianna Doreen Foreman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2711 E Coast Hwy, Ste 206, Corona Del Mar, CA 92625 Phone: 949-675-2922 | |
Eastbluff Physical Rehabilitation, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 East Pacific Coast Highway, Suite 240, Corona Del Mar, CA 92625 Phone: 949-760-9545 Fax: 714-968-4220 | |
Wing Chi Tang, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2711 E Coast Hwy, Suite 206, Corona Del Mar, CA 92625 Phone: 949-675-2922 | |
Dr. Jeffrey Fracalosy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 E Coast Hwy, Corona Del Mar, CA 92625 Phone: 949-640-2121 | |
Ms. Lisa Jean Welton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 East Pacific Coast Highway, Ste. 240, Corona Del Mar, CA 92625 Phone: 949-640-2121 Fax: 949-640-2631 | |
Ginger Fee, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 East Pacific Coast Highway, Suite 240, Corona Del Mar, CA 92625 Phone: 949-640-2121 Fax: 949-640-2631 |