| Glen Carlos Swoopes, PT | |
|
633 Hawkins Way, Santa Maria, CA 93455-7427 | |
| (805) 598-6982 | |
| Not Available |
| Full Name | Glen Carlos Swoopes |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 633 Hawkins Way, Santa Maria, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962280404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT24029 (California) | Primary |
| Provider Name | Coastal Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1710750344 PECOS PAC ID: 7517303019 Enrollment ID: O20240306003708 |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Carlos Swoopes, PT 633 Hawkins Way, Santa Maria, CA 93455-7427 Ph: (805) 598-6982 | Glen Carlos Swoopes, PT 633 Hawkins Way, Santa Maria, CA 93455-7427 Ph: (805) 598-6982 |
Matthew Sagisi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935 | |
Dr. Ernesto Josue Vega, PT,DPT,CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 526 San Diego St, Santa Maria, CA 93455 Phone: 805-867-3110 | |
Staci Lynn-sargent Mc Lean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015b S Broadway, Santa Maria, CA 93454 Phone: 805-440-9318 Fax: 805-938-5390 | |
Dallan Noel Rigby, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 N Miller St, Santa Maria, CA 93454 Phone: 805-739-2518 | |
Quentin Doug Sims Iii, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935 | |
Alexis Emmanuel Camacho Zarate, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N College Dr Ste 203, Santa Maria, CA 93454 Phone: 805-922-1724 | |
Mr. Gino John Brunello, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935 |