| Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. | |
|
516 Las Posas Rd, Camarillo, CA 93010-5705 | |
| (805) 388-5678 | |
| (805) 388-5665 |
| Full Name | Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 516 Las Posas Rd, Camarillo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083905277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 17739 (California) | Primary |
| Provider Name | Jeffrey L Nicholl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437128931 PECOS PAC ID: 7012995947 Enrollment ID: I20040708000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. Po Box 3783, Ventura, CA 93006-3783 Ph: (805) 388-5678 | Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. 516 Las Posas Rd, Camarillo, CA 93010-5705 Ph: (805) 388-5678 |
Harris & King Health Services Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2486 N Ponderosa Dr, Suite D106, Camarillo, CA 93010 Phone: 805-484-5447 Fax: 805-484-2158 | |
Robert S Chang, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2347 Jeffrey Rd, Camarillo, CA 93012 Phone: 818-236-4833 | |
Brian Edwin Jacobson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Paseo Camarillo, Suite 105, Camarillo, CA 93010 Phone: 805-987-6851 | |
Brian Mcmahon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Del Norte Rd Ste 105, Camarillo, CA 93010 Phone: 805-981-3006 | |
Joanna Kassar, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4035 Mission Oaks Blvd Unit B, Camarillo, CA 93012 Phone: 805-497-9411 | |
Mrs. Laurie Hata Ross, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Calle Cataluna, Camarillo, CA 93012 Phone: 805-551-6778 |