| Mario Edwards, | |
|
1004 N El Camino Real, Encinitas, CA 92024-1320 | |
| (760) 632-6942 | |
| Not Available |
| Full Name | Mario Edwards |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1004 N El Camino Real, Encinitas, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740012152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Gaspar Physical Therapy A Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952544405 PECOS PAC ID: 0648165761 Enrollment ID: O20040218000309 |
| Mailing Address | Practice Location Address |
|---|---|
| Mario Edwards, 5421 Los Robles Dr, Carlsbad, CA 92008-4423 Ph: () - | Mario Edwards, 1004 N El Camino Real, Encinitas, CA 92024-1320 Ph: (760) 632-6942 |
Aktive Physical Therapy A Professional Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 789a Saxony Rd, Encinitas, CA 92024 Phone: 914-703-1029 | |
Allen Namboothiri, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1092 N El Camino Real, Encinitas, CA 92024 Phone: 760-633-6507 | |
Erin Donovan Olsen, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1830 Blue Bonnet Pl, Encinitas, CA 92024 Phone: 760-632-2495 Fax: 760-632-2495 | |
Audra Jahn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 332 Santa Fe Dr, Ste 120, Encinitas, CA 92024 Phone: 760-942-4400 Fax: 760-942-4450 | |
Susan Marie Andersen I, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 234 Meadow Vista Way, Encinitas, CA 92024 Phone: 619-818-8316 | |
Onyx Physical Therapy And Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 681 2nd St Ste 101, Encinitas, CA 92024 Phone: 985-778-5176 | |
William L. Waters, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 247 Fraxinella St, Encinitas, CA 92024 Phone: 619-871-8038 |