| Lisa Ann Modera, DPT | |
|
325 Rolling Oaks Dr Ste 210, Thousand Oaks, CA 91361-1088 | |
| (805) 446-3141 | |
| (805) 446-3140 |
| Full Name | Lisa Ann Modera |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 325 Rolling Oaks Dr Ste 210, Thousand Oaks, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588142681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 295065 (California) | Primary |
| Provider Name | Two Trees Physical Therapy & Wellness Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1770830325 PECOS PAC ID: 5597915603 Enrollment ID: O20121026000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Ann Modera, DPT 2051 Statham Blvd, Oxnard, CA 93033-3901 Ph: (805) 765-4773 | Lisa Ann Modera, DPT 325 Rolling Oaks Dr Ste 210, Thousand Oaks, CA 91361-1088 Ph: (805) 446-3141 |
Andrea C Gutierrez, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Rolling Oaks Drive, Suite 210, Thousand Oaks, CA 91361 Phone: 805-446-3141 | |
Jessica 'autumn' L Kramer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Saint Charles Dr Ste 100, Thousand Oaks, CA 91360 Phone: 805-777-1023 Fax: 888-506-7977 | |
Dr. Andrew Joseph Morales, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 696 Hampshire Rd Ste 210, Thousand Oaks, CA 91361 Phone: 805-777-7370 Fax: 805-777-7380 | |
Derik Khosrovian, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Lombard St, Thousand Oaks, CA 91360 Phone: 805-494-4145 | |
Challenge Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 911 Vivian Cir, Thousand Oaks, CA 91320 Phone: 805-777-7172 Fax: 805-499-7033 | |
Cara Rademaker, MPT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360 Phone: 805-777-1023 Fax: 805-777-3496 | |
Allison Meyer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 375 Rolling Oaks Dr Ste 210, Thousand Oaks, CA 91361 Phone: 805-497-7015 |