| Jessica L Super, PT, DPT, CSCS | |
|
44651 Village Ct Ste 120, Palm Desert, CA 92260-3823 | |
| (760) 501-6655 | |
| (760) 262-3773 |
| Full Name | Jessica L Super |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 18 Years |
| Location | 44651 Village Ct Ste 120, Palm Desert, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801036819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT35434 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dynamic Physical Therapy And Sports Performance Inc | 5092004051 | 3 |
| Provider Name | Dynamic Physical Therapy And Sports Performance Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1770958670 PECOS PAC ID: 5092004051 Enrollment ID: O20160629000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica L Super, PT, DPT, CSCS 44651 Village Ct Ste 120, Palm Desert, CA 92260-3823 Ph: (760) 501-6655 | Jessica L Super, PT, DPT, CSCS 44651 Village Ct Ste 120, Palm Desert, CA 92260-3823 Ph: (760) 501-6655 |
California Rehabilitation & Sports Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 73345 Highway 111, Ste 103, Palm Desert, CA 92260 Phone: 760-340-1812 Fax: 760-340-1852 | |
Isabella Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 72880 Fred Waring Dr, Palm Desert, CA 92260 Phone: 760-340-4036 Fax: 760-340-4036 | |
Alex Chujo, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 73221 Highway 111, Ste A, Palm Desert, CA 92260 Phone: 760-773-2179 Fax: 760-773-2810 | |
Daniel John Keenan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 76931 Tricia Ln, Palm Desert, CA 92211 Phone: 760-799-6017 | |
Dr. Sharon Neta Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41505 Carlotta Dr, Palm Desert, CA 92211 Phone: 760-346-5420 | |
Kimberly Jean Burton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 43875 Washington St Ste G, Palm Desert, CA 92211 Phone: 888-439-1295 Fax: 888-405-0638 | |
Mrs. Therese Tudor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 Phone: 760-345-2200 Fax: 760-345-2210 |