| Impact Phytherapy And Performance Fna Ko Golf Performance & Pt Pc | |
|
27601 Forbes Rd Ste 38, Laguna Niguel, CA 92677-1241 | |
| (949) 378-9985 | |
| Not Available |
| Full Name | Impact Phytherapy And Performance Fna Ko Golf Performance & Pt Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 27601 Forbes Rd Ste 38, Laguna Niguel, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346706025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
| Provider Name | Kevin O Connor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982070587 PECOS PAC ID: 3375852346 Enrollment ID: I20151014003128 |
| Provider Name | Ryan Christian Stuhr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699386573 PECOS PAC ID: 2163841685 Enrollment ID: I20201002001420 |
| Provider Name | Colin Mcglynn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710465471 PECOS PAC ID: 6901280957 Enrollment ID: I20220825001405 |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Phytherapy And Performance Fna Ko Golf Performance & Pt Pc 27601 Forbes Rd Ste 38, Laguna Niguel, CA 92677-1241 Ph: () - | Impact Phytherapy And Performance Fna Ko Golf Performance & Pt Pc 27601 Forbes Rd Ste 38, Laguna Niguel, CA 92677-1241 Ph: (949) 378-9985 |
Maria Zanita D'urso Combs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27882 Forbes Road, Suite 110, Laguna Niguel, CA 92677 Phone: 949-364-2955 Fax: 949-364-1799 | |
John Thomas, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31271 Niguel Rd Ste J, Laguna Niguel, CA 92677 Phone: 949-443-5442 | |
Ross Lason Sugiyama, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24050 Aliso Creek Rd Ste 1c, Laguna Niguel, CA 92677 Phone: 949-317-4454 Fax: 949-688-2134 | |
Kathy E Larson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27882 Forbes Rd, Suite 110, Laguna Niguel, CA 92677 Phone: 949-364-2955 Fax: 949-364-1799 | |
Mrs. Stuti H Dixit, PT, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 27601 Forbes Rd Ste 21, Laguna Niguel, CA 92677 Phone: 949-742-7279 | |
Ak Physical Therapy, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Serenity Ln, Laguna Niguel, CA 92677 Phone: 845-709-0198 | |
Lisa Blessing Kice, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31356 Flying Cloud Dr, Laguna Niguel, CA 92677 Phone: 951-719-6228 |