| Jacob Mason, PT | |
|
35325 Date Palm Dr Ste 131, Cathedral City, CA 92234-7031 | |
| (760) 202-0368 | |
| (760) 770-1973 |
| Full Name | Jacob Mason |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 35325 Date Palm Dr Ste 131, Cathedral City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588361455 | NPI | - | NPPES |
| Provider Name | Tidewater Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Mason, PT 183 Fox Crossing Rd, Griffin, GA 30224-8268 Ph: (678) 972-7151 | Jacob Mason, PT 35325 Date Palm Dr Ste 131, Cathedral City, CA 92234-7031 Ph: (760) 202-0368 |
Paul Crawford, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 69472 Serenity Rd, Cathedral City, CA 92234 Phone: 760-409-6383 Fax: 866-225-9947 | |
Leonard Merlin Galloway, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27620 Landau Blvd, Suite 3, Cathedral City, CA 92234 Phone: 760-322-5090 Fax: 760-322-9175 | |
Kristina Thornhill, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 69472 Serenity Rd, Cathedral City, CA 92234 Phone: 760-440-9638 Fax: 866-225-9947 | |
Juan Vargas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35325 Date Palm Dr Ste 131, Cathedral City, CA 92234 Phone: 760-202-0368 Fax: 760-770-1973 | |
Matthew Schiffino, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35325 Date Palm Dr Ste 131, Cathedral City, CA 92234 Phone: 760-202-0368 Fax: 760-770-1973 | |
Sophia A Risorto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68860 Perez Rd Ste E2, Cathedral City, CA 92234 Phone: 760-770-6651 Fax: 760-770-6651 | |
Mr. Luke D Gentry, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35325 Date Palm Dr, Suite 131, Cathedral City, CA 92234 Phone: 760-202-0368 Fax: 760-770-1973 |