| Kelcey Aguirre Hidalgo, PT | |
|
1565 Virginia Ranch Rd, Gardnerville, NV 89410-5704 | |
| (775) 782-3100 | |
| (253) 631-3899 |
| Full Name | Kelcey Aguirre Hidalgo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1565 Virginia Ranch Rd, Gardnerville, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942846407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT60645613 (Washington) | Secondary |
| 225100000X | Physical Therapist | 4585 (Nevada) | Primary |
| Provider Name | Orthopaedic and Neurological Rehab Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20210308002364 |
| Provider Name | Nevada Luna Care Physical Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457087009 PECOS PAC ID: 6901280510 Enrollment ID: O20220831001956 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelcey Aguirre Hidalgo, PT 1565 Virginia Ranch Rd, Gardnerville, NV 89410-5704 Ph: (877) 295-3747 | Kelcey Aguirre Hidalgo, PT 1565 Virginia Ranch Rd, Gardnerville, NV 89410-5704 Ph: (775) 782-3100 |
Mrs. Barbara Ellen Gould, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 Highway 395 South, Gardnerville, NV 89410 Phone: 775-782-1519 |
Makela Bea Palmer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 Hwy 395 S, Gardnerville, NV 89410 Phone: 775-782-1517 Fax: 775-782-1552 |
Powerback Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1565 Virginia Ranch Rd, Gardnerville, NV 89410 Phone: 775-309-4860 |
Ricky Shigeru Miyashiro, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 Hwy 395 S, Gardnerville, NV 89410 Phone: 775-782-1517 Fax: 775-782-1552 |
Julie Freschi, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1565 Virginia Ranch Rd, Gardnerville, NV 89410 Phone: 925-890-0049 |
Tyler Roberts, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1573 Mathias Pkwy, Gardnerville, NV 89410 Phone: 785-250-0319 |
Vickie Cracchiolo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 271 Fredricksburg Rd, Gardnerville, NV 89460 Phone: 775-265-2074 |