| Luis Sedano Ibarra, | |
|
1314 Lincoln Ave Ste 1f, San Jose, CA 95125-3012 | |
| (831) 999-0880 | |
| (833) 435-3990 |
| Full Name | Luis Sedano Ibarra |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 1314 Lincoln Ave Ste 1f, San Jose, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124908611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 303020 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shepardson Physical Therapy Corporation | 9032659636 | 7 |
| Provider Name | Shepardson Physical Therapy Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497593602 PECOS PAC ID: 9032659636 Enrollment ID: O20240910002896 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Sedano Ibarra, 1314 Lincoln Ave Ste 1f, San Jose, CA 95125-3012 Ph: (831) 999-0880 | Luis Sedano Ibarra, 1314 Lincoln Ave Ste 1f, San Jose, CA 95125-3012 Ph: (831) 999-0880 |
Mrs. Joanne Delosreyes Pho, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-7236 |
Dr. Robert Myles Noakes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4205 San Felipe Rd, Suite 100, San Jose, CA 95135 Phone: 408-238-1552 Fax: 408-238-1552 |
Ms. Mary Claire Tolentino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4019 Gold Run, San Jose, CA 95136 Phone: 408-416-7464 |
Thomas Alec Sa, Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-6400 |
Sydnie Frances Petoskey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1267 Meridian Ave, San Jose, CA 95125 Phone: 408-265-4211 |
Mrs. Linda L Katzman, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1624 E Capitol Expy, San Jose, CA 95121 Phone: 408-270-2280 Fax: 408-270-1902 |
Katherine Susan Casto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 International Cir, San Jose, CA 95119 Phone: 408-972-6400 Fax: 408-972-6415 |