| Mark Mako, PT, OCS | |
|
2585 Cochran St, Suite A, Simi Valley, CA 93065-2602 | |
| (805) 584-0001 | |
| (805) 527-9135 |
| Full Name | Mark Mako |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 37 Years |
| Location | 2585 Cochran St, Simi Valley, 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 |
|---|---|---|---|
| 1013961275 | NPI | - | NPPES |
| 77057605493065A002 | Other | CA | TRICARE |
| PT00015347 | Other | CA | BLUE CROSS OF CA |
| 0PT153470 | Other | CA | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 15347 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Body Mechanix Physical Therapy Inc | 3072575836 | 5 |
| Provider Name | Body Mechanix Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831143031 PECOS PAC ID: 3072575836 Enrollment ID: O20041103000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Mako, PT, OCS 2585 Cochran St, Suite A, Simi Valley, CA 93065-2602 Ph: (805) 584-0001 | Mark Mako, PT, OCS 2585 Cochran St, Suite A, Simi Valley, CA 93065-2602 Ph: (805) 584-0001 |
Antonio Oribel Torres, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2034 Sebring St, Simi Valley, CA 93065 Phone: 661-342-6748 | |
Gateways Rehab Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2470 Stearns St # 173, Simi Valley, CA 93063 Phone: 818-314-5774 | |
Mr. Brian Carson, M.P.T., C.S.C.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Madera Rd, Suite G, Simi Valley, CA 93065 Phone: 805-306-1622 Fax: 805-306-1611 | |
Mrs. Kristin Gail Kerns, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1687 Erringer Rd, Suite 109, Simi Valley, CA 93065 Phone: 805-584-8054 Fax: 805-584-2437 | |
Molly Breckley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2525 Erringer Rd, Simi Valley, CA 93065 Phone: 805-526-2311 Fax: 805-526-6608 | |
Dr. Sean Edward Wronka, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Madera Rd Unit I-1, Simi Valley, CA 93065 Phone: 805-306-1622 |