| Justis George, PT | |
|
4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 | |
| (424) 526-5151 | |
| (424) 835-6475 |
| Full Name | Justis George |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 4640 Admiralty Way Ste 420, Marina Del Rey, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427494673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01493300 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | 293147 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Cal Physical Therapy Pc | 4789070699 | 130 |
| Provider Name | Select Cs Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043894090 PECOS PAC ID: 1355742081 Enrollment ID: O20210701000787 |
| Provider Name | Select Cal Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417619008 PECOS PAC ID: 4789070699 Enrollment ID: O20220401000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Justis George, PT 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 Ph: (424) 526-5151 | Justis George, PT 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 Ph: (424) 526-5151 |
Eva Nemeth, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 | |
Destiny Thompson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 300, Marina Del Rey, CA 90292 Phone: 310-273-0877 | |
Dr. Krysta Iola Caingcoy, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-822-0041 Fax: 310-822-0049 | |
Andrea Mathieux, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-392-7889 Fax: 310-822-0049 | |
Laurie Hubbard, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4702 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 | |
Faye Gaitens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 | |
Frances B Gramaje, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4702 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 |