| Jordan Keith Spady, DPT | |
|
32819 Yucaipa Blvd, Yucaipa, CA 92399-1944 | |
| (909) 797-9010 | |
| Not Available |
| Full Name | Jordan Keith Spady |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 32819 Yucaipa Blvd, Yucaipa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336787522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT295345 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Provider Name | Adorador Enterprises Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861402950 PECOS PAC ID: 4183651276 Enrollment ID: O20091119000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Keith Spady, DPT 25335 Lane St, Loma Linda, CA 92354-2310 Ph: (817) 371-2526 | Jordan Keith Spady, DPT 32819 Yucaipa Blvd, Yucaipa, CA 92399-1944 Ph: (909) 797-9010 |
Kore Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 31776 Yucaipa Blvd Ste 8, Yucaipa, CA 92399 Phone: 916-276-4621 | |
Mr. Eric John Laudenslager, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33492 Oak Glen Rd, Suite H, Yucaipa, CA 92399 Phone: 909-797-5155 Fax: 909-797-2768 | |
Andrew Khong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32819 Yucaipa Blvd #3, Yucaipa, CA 92399 Phone: 909-797-9010 | |
Robert Augustus Harper Jr., PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 33492 Oak Glen Rd Ste H, Yucaipa, CA 92399 Phone: 909-797-5155 Fax: 909-797-2768 | |
Optimum Physical Therapy & Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 34213 Yucaipa Blvd, Suite A, Yucaipa, CA 92399 Phone: 909-797-9010 Fax: 909-797-9046 | |
Clayton Frankian, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32819 Yucaipa Blvd, Suite 3, Yucaipa, CA 92399 Phone: 909-797-9010 | |
Jordan River Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 34247 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-528-8288 |