| Lisa Michelle Gibson, | |
|
1510 Seabright Ave, Santa Cruz, CA 95062-2529 | |
| (831) 425-3588 | |
| Not Available |
| Full Name | Lisa Michelle Gibson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1510 Seabright Ave, Santa Cruz, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245565670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 35980 (California) | Primary |
| Provider Name | Sports And Orthopedic Specialists |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104914597 PECOS PAC ID: 6002862562 Enrollment ID: O20090416000157 |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Michelle Gibson, 521 Olive St, Santa Cruz, CA 95060-2424 Ph: (510) 301-6106 | Lisa Michelle Gibson, 1510 Seabright Ave, Santa Cruz, CA 95062-2529 Ph: (831) 425-3588 |
Peter Buscheck, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8030 Soquel Ave Ste 200, Santa Cruz, CA 95062 Phone: 831-464-8200 | |
Pauli Anna Hodges, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1003 River St Ste C, Santa Cruz, CA 95060 Phone: 831-457-1800 | |
Ting-yuan Chang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8030 Soquel Ave Ste 200, Santa Cruz, CA 95062 Phone: 831-464-8200 | |
Gaye Kihorany, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-423-4111 | |
John Hauk, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1529 Seabright Ave, Santa Cruz, CA 95062 Phone: 831-458-6230 | |
Mr. Andrew Tomes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Columbia St Apt 104, Santa Cruz, CA 95060 Phone: 512-608-1547 | |
Kelsey R Paolucci, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9000 Soquel Ave, Suite 103, Santa Cruz, CA 95062 Phone: 831-464-8200 |