| Jacky Peng, | |
|
101 Sand Creek Rd Ste A, Brentwood, CA 94513-2539 | |
| (925) 939-8585 | |
| Not Available |
| Full Name | Jacky Peng |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 101 Sand Creek Rd Ste A, Brentwood, 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 |
|---|---|---|---|
| 1508604489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 306189 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Sports Physical Therapy Centers Inc | 7618956889 | 33 |
| Provider Name | California Sports Physical Therapy Centers Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1467436329 PECOS PAC ID: 7618956889 Enrollment ID: O20050707001097 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacky Peng, 1216 Sierra Trail Rd, Oakley, CA 94561-5240 Ph: (415) 793-6802 | Jacky Peng, 101 Sand Creek Rd Ste A, Brentwood, CA 94513-2539 Ph: (925) 939-8585 |
Dina Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 John Muir Pkwy, Brentwood, CA 94513 Phone: 925-516-8006 | |
Darin Li, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2400 Balfour Rd Ste 210, Brentwood, CA 94513 Phone: 925-308-8160 | |
Pamela Ramona Thirrukotla, Physical Therapist Medicare: Medicare Enrolled Practice Location: 350 John Muir Pkwy Ste 250, Brentwood, CA 94513 Phone: 925-308-8160 | |
Reneta A Botros, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1395 Camden Ct, Brentwood, CA 94513 Phone: 412-657-2873 | |
Miss Gea Gabrielle Serafica Rosales, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2013 Elkins Way Ste C, Brentwood, CA 94513 Phone: 925-513-2252 Fax: 925-513-2253 | |
Lindsay Johnson, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2013 Elkins Way Ste C, Brentwood, CA 94513 Phone: 925-513-2252 Fax: 925-513-2253 | |
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