| Elsa Portillo, DPT | |
|
1200 El Camino Real, South San Francisco, CA 94080-3208 | |
| (773) 756-6227 | |
| Not Available |
| Full Name | Elsa Portillo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1200 El Camino Real, South San Francisco, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629821095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ideal Physical Therapy Of Texas Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Elsa Portillo, DPT 1237 Vassar Dr Ne, Albuquerque, NM 87106-2622 Ph: (773) 756-6227 | Elsa Portillo, DPT 1200 El Camino Real, South San Francisco, CA 94080-3208 Ph: (773) 756-6227 |
Monica L Wong, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Nico Job De Guzman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2260 Gellert Blvd Apt 1211, South San Francisco, CA 94080 Phone: 415-375-1118 | |
Brandon Jonathan Leong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Cymbidium Cir, South San Francisco, CA 94080 Phone: 650-583-1968 | |
Angela Ng, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Mountain Rd, South San Francisco, CA 94080 Phone: 415-307-3260 | |
Kate Newman Albee, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-3330 | |
Annette Joson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2723 | |
Bernadette Ann Weslow, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 Fax: 650-742-7295 |