| Harbor Physical Therapy & Sports Medical | |
|
1294 West 6th Street, Suite 101, San Pedro, CA 90732-2997 | |
| (310) 547-1850 | |
| (310) 547-1972 |
| Full Name | Harbor Physical Therapy & Sports Medical |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1294 West 6th Street, San Pedro, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255349676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT11977 (California) | Primary |
| Provider Name | Michael T Odonnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275541724 PECOS PAC ID: 8123294527 Enrollment ID: I20120106000427 |
| Provider Name | Der-how J Huang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619213485 PECOS PAC ID: 3072751577 Enrollment ID: I20130522000427 |
| Provider Name | Jonathan Yang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699224063 PECOS PAC ID: 6507154408 Enrollment ID: I20161010000589 |
| Provider Name | Kathryn Denise Ayoob |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578110854 PECOS PAC ID: 0244560456 Enrollment ID: I20191001000403 |
| Provider Name | Graham Gage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093379091 PECOS PAC ID: 5890128201 Enrollment ID: I20191125002086 |
| Provider Name | Celina Caovan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689285900 PECOS PAC ID: 4587081542 Enrollment ID: I20200904001726 |
| Provider Name | Ross Lason Sugiyama |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013529288 PECOS PAC ID: 7315365632 Enrollment ID: I20200917001516 |
| Provider Name | Christopher R Floyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184225195 PECOS PAC ID: 9032529433 Enrollment ID: I20201112002504 |
| Provider Name | Christopher Santos Canlas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033889555 PECOS PAC ID: 7315335882 Enrollment ID: I20211102003076 |
| Provider Name | Eric K Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033873146 PECOS PAC ID: 2769875533 Enrollment ID: I20220201000073 |
| Provider Name | Emily Moon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700523115 PECOS PAC ID: 8123404365 Enrollment ID: I20220926002339 |
| Provider Name | Honoka Wendy Shiga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497491229 PECOS PAC ID: 2062898794 Enrollment ID: I20221004002719 |
| Provider Name | Terrance Franc Sy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821781279 PECOS PAC ID: 2860853983 Enrollment ID: I20230804001189 |
| Provider Name | Colleen O'donnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790552321 PECOS PAC ID: 4082051545 Enrollment ID: I20240320002682 |
| Provider Name | Tobi Taofik Ibraheem |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255148904 PECOS PAC ID: 4284161449 Enrollment ID: I20241230001216 |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Physical Therapy & Sports Medical 1294 West 6th Street, Suite 101, San Pedro, CA 90732-2997 Ph: (310) 547-1850 | Harbor Physical Therapy & Sports Medical 1294 West 6th Street, Suite 101, San Pedro, CA 90732-2997 Ph: (310) 547-1850 |
Praxis Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1360 W 6th St, #210 North Building, San Pedro, CA 90732 Phone: 310-548-3130 | |
Alice Wang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 W 6th St, Suite 101, San Pedro, CA 90731 Phone: 310-547-1850 | |
Eric K Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 W 6th St Ste 101, San Pedro, CA 90731 Phone: 310-547-1850 Fax: 310-547-1972 | |
Christopher Santos Canlas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 W 6th St Ste 101, San Pedro, CA 90731 Phone: 310-547-1850 Fax: 310-547-1972 | |
Mr. Silverton Nguyen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 481 W 6th St, San Pedro, CA 90731 Phone: 424-536-3023 Fax: 424-536-3093 | |
Lisa J Shepard, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 West 6th Street, Suite 101, San Pedro, CA 90732 Phone: 310-547-1850 Fax: 310-547-1972 | |
Ma Christina Salgado-cortez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1176 W 14th St, San Pedro, CA 90731 Phone: 310-972-8049 |