| Ethan James Schalekamp, DPT | |
|
2001 Wilshire Blvd Ste 310, Santa Monica, CA 90403-5683 | |
| (310) 829-3320 | |
| Not Available |
| Full Name | Ethan James Schalekamp |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 2001 Wilshire Blvd Ste 310, Santa Monica, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295574267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 308350 (California) | Primary |
| 225100000X | Physical Therapist | 26576 (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Cs Physical Therapy Pc | 1355742081 | 177 |
| Provider Name | Select CS Physical Therapy PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043894090 PECOS PAC ID: 1355742081 Enrollment ID: O20210701000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan James Schalekamp, DPT 47 Adams St # 1, Somerville, MA 02145-2601 Ph: (518) 396-7948 | Ethan James Schalekamp, DPT 2001 Wilshire Blvd Ste 310, Santa Monica, CA 90403-5683 Ph: (310) 829-3320 |
Mr. Jared Spencer Vagy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 |
Rebecca Marie Pitts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2010 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-878-2540 |
Eleanor Bachman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 20th St Apt 4, Santa Monica, CA 90404 Phone: 917-755-8910 |
Lori Jean Mccarty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Wilshire Blvd, Santa Monica, CA 90401 Phone: 310-656-8600 Fax: 310-656-8606 |
Caitlin E Berry, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 |
Michael Allan Andersen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 |
Adrienne Telemaque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 |