| Longevity Physical Therapy | |
|
2719 Loker Ave W Ste A, Carlsbad, CA 92010-6679 | |
| (760) 918-9200 | |
| (760) 918-9203 |
| Full Name | Longevity Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2719 Loker Ave W Ste A, Carlsbad, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568767309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Brett Bloom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790881639 PECOS PAC ID: 5395630677 Enrollment ID: I20040216001333 |
| Provider Name | Kristen May Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376096917 PECOS PAC ID: 5294021283 Enrollment ID: I20160830002621 |
| Provider Name | Megan D Reinhold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588102776 PECOS PAC ID: 7113201534 Enrollment ID: I20170303000571 |
| Provider Name | Alexandra Rimmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710401815 PECOS PAC ID: 3476826116 Enrollment ID: I20170831002369 |
| Provider Name | Casey Waller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659926301 PECOS PAC ID: 4587995006 Enrollment ID: I20191015002579 |
| Provider Name | Kevin Casey Greer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699309971 PECOS PAC ID: 4082043518 Enrollment ID: I20200406000552 |
| Provider Name | Yvonne Kathleen Calderon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679099790 PECOS PAC ID: 3375803133 Enrollment ID: I20200701000317 |
| Provider Name | Rachel M Roesgen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447876925 PECOS PAC ID: 0345666061 Enrollment ID: I20200812001775 |
| Provider Name | Mihal Lakhovsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164034476 PECOS PAC ID: 4486072600 Enrollment ID: I20200918002382 |
| Provider Name | Angad Sandhu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174158430 PECOS PAC ID: 4486073806 Enrollment ID: I20201002001980 |
| Provider Name | Alexandra J Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346870706 PECOS PAC ID: 5799195475 Enrollment ID: I20201109001719 |
| Provider Name | Johnnie Edwin Durbin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639775141 PECOS PAC ID: 1153726260 Enrollment ID: I20210826002270 |
| Provider Name | Chad Isamu Nakagawa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235809047 PECOS PAC ID: 5294133278 Enrollment ID: I20211005002501 |
| Provider Name | Jolene Antoinette Farley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457924698 PECOS PAC ID: 1254721335 Enrollment ID: I20211203000979 |
| Provider Name | Victor Wei |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508428145 PECOS PAC ID: 4284961517 Enrollment ID: I20211206002831 |
| Provider Name | Alexa Hadinoto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134886799 PECOS PAC ID: 3971994641 Enrollment ID: I20220107000505 |
| Provider Name | Jimmy Vu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699435313 PECOS PAC ID: 9234522996 Enrollment ID: I20220202001147 |
| Provider Name | Rachel Berman Mallory |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043926983 PECOS PAC ID: 5092187039 Enrollment ID: I20230221000466 |
| Provider Name | Victoria Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003694662 PECOS PAC ID: 6406202878 Enrollment ID: I20231023000761 |
| Provider Name | Casey Jo Riordan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457115412 PECOS PAC ID: 3274972716 Enrollment ID: I20240417002505 |
| Provider Name | Taryn Howard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649032103 PECOS PAC ID: 7315481892 Enrollment ID: I20240626001974 |
| Provider Name | Vincent Michael Rios |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104660729 PECOS PAC ID: 1153866298 Enrollment ID: I20240712001018 |
| Provider Name | Lisa Rosen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669149167 PECOS PAC ID: 2365830312 Enrollment ID: I20240731004542 |
| Provider Name | Thomas Stearns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942030630 PECOS PAC ID: 5092254342 Enrollment ID: I20240829004191 |
| Provider Name | Corey Esquivias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245063510 PECOS PAC ID: 2163962523 Enrollment ID: I20240911004561 |
| Provider Name | Kaitlyn Joan Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790517035 PECOS PAC ID: 7719428002 Enrollment ID: I20240926002964 |
| Provider Name | Krista Madrid Faulkner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780338772 PECOS PAC ID: 2769869098 Enrollment ID: I20240926004317 |
| Provider Name | Alexandra Flores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982435178 PECOS PAC ID: 2365973229 Enrollment ID: I20241002001631 |
| Provider Name | Rebecca Claire Pierce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740008077 PECOS PAC ID: 7214468990 Enrollment ID: I20241004002587 |
| Provider Name | Josef Becher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700692241 PECOS PAC ID: 3072041508 Enrollment ID: I20250113000913 |
| Provider Name | Alec La Rosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033891312 PECOS PAC ID: 5294198677 Enrollment ID: I20250314001770 |
| Provider Name | Giovanna Tafur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871391763 PECOS PAC ID: 7810411949 Enrollment ID: I20250409003804 |
| Provider Name | Anisa Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942001318 PECOS PAC ID: 6901325356 Enrollment ID: I20250528003632 |
| Provider Name | Kelly Alazard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972249738 PECOS PAC ID: 8022490655 Enrollment ID: I20250915000145 |
| Provider Name | Grace Catherine Suggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205551942 PECOS PAC ID: 0840793709 Enrollment ID: I20250915002855 |
| Provider Name | Kylie Mulvehill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871472647 PECOS PAC ID: 6709382278 Enrollment ID: I20251002004539 |
| Provider Name | Cristian Delacruz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114899838 PECOS PAC ID: 7113424805 Enrollment ID: I20251008002978 |
| Provider Name | Daniel Allen Brunker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831079102 PECOS PAC ID: 3072009257 Enrollment ID: I20251226002153 |
| Provider Name | Michael Elliot Halk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326605098 PECOS PAC ID: 7214414531 Enrollment ID: I20260116002516 |
| Provider Name | Isabella Santini Davalos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609724046 PECOS PAC ID: 3678042207 Enrollment ID: I20260513001726 |
| Provider Name | Cory Mathew Blackburn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063340495 PECOS PAC ID: 3375015894 Enrollment ID: I20260616003004 |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Physical Therapy 1084 N El Camino Real # B-351, Encinitas, CA 92024-1334 Ph: (760) 918-9200 | Longevity Physical Therapy 2719 Loker Ave W Ste A, Carlsbad, CA 92010-6679 Ph: (760) 918-9200 |
Dr. Victoria Wood, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2719 Loker Ave W Ste A, Carlsbad, CA 92010 Phone: 760-918-9200 Fax: 760-918-9203 |
Mariaandrea Garro, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2712 Madison St, Carlsbad, CA 92008 Phone: 760-729-5433 Fax: 760-729-1764 |
Amy Gonzales, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3229 Avenida De Sueno, Carlsbad, CA 92009 Phone: 760-505-0035 |
Vicki Vo Biancalani, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6255 Nygaard St, Carlsbad, CA 92009 Phone: 760-603-9999 |
Erika England, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6102 Avenida Encinas, Suite E, Carlsbad, CA 92011 Phone: 760-634-9750 Fax: 760-634-9752 |
Dr. Rachel Berman Mallory, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2719 Loker Ave W Ste A, Carlsbad, CA 92010 Phone: 760-918-9200 |
Heather Berryhill, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6070 Avenida Encinas # 100, Carlsbad, CA 92011 Phone: 760-388-6475 |