| Marivic Lucena Diego, | |
|
11112 Pacific Ave S, Tacoma, WA 98444-5749 | |
| (253) 537-1103 | |
| Not Available |
| Full Name | Marivic Lucena Diego |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 11112 Pacific Ave S, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720737885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT016000 (Georgia) | Primary |
| Provider Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Benchmark Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
| Provider Name | Mcm Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538226840 PECOS PAC ID: 5294798336 Enrollment ID: O20110826000205 |
| Provider Name | Drayer Physical Therapy Georgia, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962830406 PECOS PAC ID: 4284863317 Enrollment ID: O20140212000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Marivic Lucena Diego, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () - | Marivic Lucena Diego, 11112 Pacific Ave S, Tacoma, WA 98444-5749 Ph: (253) 537-1103 |
Mr. Jesse Ryan Pooler, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 621 S Pine St, Tacoma, WA 98405 Phone: 253-835-8091 | |
Ms. Katherine Jean Thurman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 S 56th St, Tacoma, WA 98409 Phone: 253-475-6862 | |
Gabrielle Abrahamsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2220 | |
Therapeutic Associates Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3518 6th Ave Ste 200a, Tacoma, WA 98406 Phone: 503-443-6156 | |
Isabel Monaghan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1550 S Union Ave Ste 130, Tacoma, WA 98405 Phone: 253-552-2525 | |
Ms. Hannah L Goldstein, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5006 Center St, Ste N, Tacoma, WA 98409 Phone: 253-476-0449 | |
Marcos Alejandro Castillo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11112 Pacific Ave S, Tacoma, WA 98444 Phone: 253-537-1103 |