| Folsom Physical Therapy & Training Center Inc | |
|
115 Natoma St, Folsom, CA 95630-2615 | |
| (916) 355-8500 | |
| Not Available |
| Full Name | Folsom Physical Therapy & Training Center Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 115 Natoma St, Folsom, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376379248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Brigit L Lim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750486882 PECOS PAC ID: 3375550411 Enrollment ID: I20060314000476 |
| Provider Name | Timothy E Mcgonigle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164506788 PECOS PAC ID: 5193863314 Enrollment ID: I20100203000869 |
| Provider Name | Michael J Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104900620 PECOS PAC ID: 6507904729 Enrollment ID: I20100203000893 |
| Provider Name | Kristen M Branham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629051065 PECOS PAC ID: 5193946903 Enrollment ID: I20141021000040 |
| Provider Name | Logan Justin Appledoorn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184370959 PECOS PAC ID: 8123414588 Enrollment ID: I20220412000822 |
| Provider Name | Kelly Smith Barry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760536270 PECOS PAC ID: 3274906623 Enrollment ID: I20230306000583 |
| Provider Name | Aviel R Haberman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699599860 PECOS PAC ID: 0042747958 Enrollment ID: I20241217000841 |
| Provider Name | Anna C Hake |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285196543 PECOS PAC ID: 4880110402 Enrollment ID: I20250428001579 |
| Mailing Address | Practice Location Address |
|---|---|
| Folsom Physical Therapy & Training Center Inc 115 Natoma St, Folsom, CA 95630-2615 Ph: (916) 355-8500 | Folsom Physical Therapy & Training Center Inc 115 Natoma St, Folsom, CA 95630-2615 Ph: (916) 355-8500 |