| Jasmine Pualeilani Higa, DPT | |
|
5075 S Bradley Rd Ste 121, Santa Maria, CA 93455-5077 | |
| (805) 934-0663 | |
| (805) 332-3409 |
| Full Name | Jasmine Pualeilani Higa |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 5075 S Bradley Rd Ste 121, 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 |
|---|---|---|---|
| 1790533040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 304646 (California) | Primary |
| Provider Name | Active Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902978968 PECOS PAC ID: 6406812817 Enrollment ID: O20041207001234 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Pualeilani Higa, DPT 5075 S Bradley Rd Ste 121, Santa Maria, CA 93455-5077 Ph: (805) 934-0663 | Jasmine Pualeilani Higa, DPT 5075 S Bradley Rd Ste 121, Santa Maria, CA 93455-5077 Ph: (805) 934-0663 |
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 |