| Jennifer N Wirt, PT | |
|
860 Via De La Paz, Suite B1, Pacific Palisades, CA 90272 | |
| (310) 573-9553 | |
| (310) 573-9533 |
| Full Name | Jennifer N Wirt |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 860 Via De La Paz, Pacific Palisades, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841508017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4362 (Oklahoma) | Secondary |
| 225100000X | Physical Therapist | 292214 (California) | Primary |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer N Wirt, PT 860 Via De La Paz, Suite B1, Pacific Palisades, CA 90272 Ph: (310) 573-9553 | Jennifer N Wirt, PT 860 Via De La Paz, Suite B1, Pacific Palisades, CA 90272 Ph: (310) 573-9553 |
Mr. David J Kramer, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16838 Calle De Sarah, Pacific Palisades, CA 90272 Phone: 310-903-3100 Fax: 818-474-0044 | |
Joseph John Godges, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15200 W Sunset Blvd, Suite 111, Pacific Palisades, CA 90272 Phone: 310-573-9340 Fax: 310-573-9328 | |
Ann M Marraccini, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 860 Via De La Paz, Suite B1, Pacific Palisades, CA 90272 Phone: 310-573-9553 Fax: 310-573-9533 | |
The Cypress Center, A Physical Therapy Corporation Physical Therapist Medicare: Medicare Enrolled Practice Location: 860 Via De La Paz, Suite B1, Pacific Palisades, CA 90272 Phone: 310-573-9553 Fax: 310-573-9533 | |
Michelle Schrader, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 861 Via De La Paz Ste F, Pacific Palisades, CA 90272 Phone: 999-999-9999 | |
Mrs. Gena Sloane Pruetz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 970 Monument St, Suite 207, Pacific Palisades, CA 90272 Phone: 310-573-9553 Fax: 310-573-9533 | |
Ms. Bernadette Catherine Mcdonnell, PT, LCCE Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 840 Haverford Ave, #7, Pacific Palisades, CA 90272 Phone: 323-464-4458 |