| Jordan Physical Therapy Center Inc | |
|
42080 State Street, Palm Desert, CA 92211-5173 | |
| (760) 568-2894 | |
| (760) 568-2894 |
| Full Name | Jordan Physical Therapy Center Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 42080 State Street, Palm Desert, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730260407 | NPI | - | NPPES |
| DE9702 | Other | PALMETTO GBA | |
| 693682 | Other | ACN | |
| ZZZ64862Z | Other | CA | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Danny Jordan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609957463 PECOS PAC ID: 0547224180 Enrollment ID: I20041115000357 |
| Provider Name | Tracy L Chuck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972587079 PECOS PAC ID: 3274622915 Enrollment ID: I20071204000465 |
| Provider Name | Marc A Hara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326104548 PECOS PAC ID: 8820156243 Enrollment ID: I20081028000864 |
| Provider Name | Patrick A Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962924068 PECOS PAC ID: 9133490949 Enrollment ID: I20170811001427 |
| Provider Name | Paul Sok |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518467372 PECOS PAC ID: 5294097184 Enrollment ID: I20180312001693 |
| Provider Name | Juliana Caroline Yavorsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245690890 PECOS PAC ID: 1658670641 Enrollment ID: I20190621000532 |
| Provider Name | Nicole Elizabeth Decristoforo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578933040 PECOS PAC ID: 5799095055 Enrollment ID: I20211007000174 |
| Provider Name | Martin Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285271510 PECOS PAC ID: 1456772508 Enrollment ID: I20220112002458 |
| Provider Name | Ava Steffen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700401445 PECOS PAC ID: 1153717988 Enrollment ID: I20220405000411 |
| Provider Name | Craig Daniel Pillow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043946502 PECOS PAC ID: 2264815331 Enrollment ID: I20220823001320 |
| Provider Name | Edilma Sosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558995514 PECOS PAC ID: 6507239183 Enrollment ID: I20230301001835 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Physical Therapy Center Inc 42080 State Street, Palm Desert, CA 92211-5173 Ph: (760) 568-2894 | Jordan Physical Therapy Center Inc 42080 State Street, Palm Desert, CA 92211-5173 Ph: (760) 568-2894 |
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 |