| Stac Physical Therapy Emeryville, Inc. | |
|
2322 Powell St, Emeryville, CA 94608-1738 | |
| (626) 825-3739 | |
| Not Available |
| Full Name | Stac Physical Therapy Emeryville, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 2322 Powell St, Emeryville, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326527730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 33997 (California) | Primary |
| Provider Name | Oliver Jacob Mok |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578576476 PECOS PAC ID: 2668460593 Enrollment ID: I20040430001266 |
| Provider Name | Robert L Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396779443 PECOS PAC ID: 0446406433 Enrollment ID: I20120807000550 |
| Provider Name | Sonam M Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811305550 PECOS PAC ID: 6406176585 Enrollment ID: I20161003000421 |
| Provider Name | Devin J Ehrlichman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437692613 PECOS PAC ID: 1759667686 Enrollment ID: I20170407001251 |
| Provider Name | Marcus A Pedroza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336618495 PECOS PAC ID: 8123369394 Enrollment ID: I20190416002872 |
| Provider Name | Xiomara Yasmani Rayo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245877091 PECOS PAC ID: 0648607127 Enrollment ID: I20200221001525 |
| Provider Name | Leada Malek-salehi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386184919 PECOS PAC ID: 2062843428 Enrollment ID: I20200519001932 |
| Provider Name | Or Nativ |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588205587 PECOS PAC ID: 4385065556 Enrollment ID: I20200527001191 |
| Provider Name | Shannon Irwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407463680 PECOS PAC ID: 1557774940 Enrollment ID: I20201231001654 |
| Provider Name | Mica Peacock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538831979 PECOS PAC ID: 2163813783 Enrollment ID: I20211215001365 |
| Provider Name | Amie Segal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386415560 PECOS PAC ID: 5890135040 Enrollment ID: I20240503003585 |
| Provider Name | Noah Sebastian Aitel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972241107 PECOS PAC ID: 1052843141 Enrollment ID: I20241014004257 |
| Mailing Address | Practice Location Address |
|---|---|
| Stac Physical Therapy Emeryville, Inc. 2322 Powell St, Emeryville, CA 94608-1738 Ph: () - | Stac Physical Therapy Emeryville, Inc. 2322 Powell St, Emeryville, CA 94608-1738 Ph: (626) 825-3739 |
Chelsea Morris Anjeski, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2322 Powell St, Emeryville, CA 94608 Phone: 510-653-5151 | |
Pacific Orthopedic Therapy Group Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5915 Hollis St, Bldg A, Emeryville, CA 94608 Phone: 510-923-0700 | |
Joanna Van, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2322 Powell St, Emeryville, CA 94608 Phone: 510-653-5151 | |
Pacific Orthopaedic & Sports Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5915 Hollis St Ste A, Emeryville, CA 94608 Phone: 510-923-0700 | |
Shannon Irwin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2322 Powell St, Emeryville, CA 94608 Phone: 510-653-5151 | |
Melissa Kehaulani Inouye Glass, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2322 Powell Street, Emeryville Sports Physical Therapy, Emeryville, CA 94608 Phone: 510-653-5151 |