Imperial Physical Therapy P C in Victorville, CA - Medicare Physical Therapist Provider

Imperial Physical Therapy P C is a medicare enrolled "Physical Therapist" provider in Victorville, California. Their current practice location is 12550 Hesperia Rd Ste 220, Victorville, California. You can reach out to their office (for appointments etc.) via phone at (909) 509-6064.

Imperial Physical Therapy P C is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Imperial Physical Therapy P C is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1326890385.

Contact Information

	Imperial Physical Therapy P C
	12550 Hesperia Rd Ste 220, Victorville, CA 92395-5873
	(909) 509-6064
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Imperial Physical Therapy P C
Type	Facility
Speciality	Physical Therapist
Location	12550 Hesperia Rd Ste 220, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326890385
Provider Enumeration Date: 04/03/2024
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 8921520016
Enrollment ID: O20250318002697

Medical Identifiers

Medical identifiers for Imperial Physical Therapy P C such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326890385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
235Z00000X	Speech-language Pathologist	(* (Not Available))	Secondary
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Imperial Physical Therapy P C acts as a billing entity for following providers:

Provider Name	Eleazar S Tayag
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1245355783 PECOS PAC ID: 6901084136 Enrollment ID: I20110617000036

Provider Name	Erdemar Somintac Tayag
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1811388275 PECOS PAC ID: 1052630837 Enrollment ID: I20250605003979

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Imperial Physical Therapy P C is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Imperial Physical Therapy P C 12550 Hesperia Rd Ste 220, Victorville, CA 92395-5873 Ph: (909) 509-6064	Imperial Physical Therapy P C 12550 Hesperia Rd Ste 220, Victorville, CA 92395-5873 Ph: (909) 509-6064

Reviews and Comments

Physical Therapist in Victorville, CA

Joanne Ingram, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Ste E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062
Janette Joyce Mary Coppotelli, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Suite E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062
Nicholas Kasischke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15095 Amargosa Rd Ste 106, Victorville, CA 92394 Phone: 760-245-6495
Amanda Shin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17270 Bear Valley Rd Ste 105, Victorville, CA 92395 Phone: 760-245-8828
Karley Ruble, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12241 Industrial Blvd Ste 210, Victorville, CA 92395 Phone: 800-489-6905
Lauretta Marie Rustad, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12402 Industrial Blvd, Suite B-2, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062
Jeremy J Mumu, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12402 Industrial Blvd, Suite B2, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062

Imperial Physical Therapy P C - Medicare Physical Therapist in Victorville, CA