| Maverick Physical Therapy P.c. | |
|
5915 Mira Mesa Blvd Ste D, San Diego, CA 92121-4303 | |
| (858) 899-8299 | |
| Not Available |
| Full Name | Maverick Physical Therapy P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5915 Mira Mesa Blvd Ste D, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396234449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT41485 (California) | Primary |
| Provider Name | Mark Adam Frens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568871861 PECOS PAC ID: 8123246972 Enrollment ID: I20250925004726 |
| Mailing Address | Practice Location Address |
|---|---|
| Maverick Physical Therapy P.c. 5915 Mira Mesa Blvd Ste D, San Diego, CA 92121-4303 Ph: (858) 899-8299 | Maverick Physical Therapy P.c. 5915 Mira Mesa Blvd Ste D, San Diego, CA 92121-4303 Ph: (858) 899-8299 |
Carmen L Luk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 Phone: 760-209-4868 |
Emily Richard, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3115 Ocean Front Walk, San Diego, CA 92109 Phone: 858-488-3597 Fax: 858-746-4041 |
Dr. Alona Mary Yacobovsky, DPT, CWS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8555 Station Village Ln Apt 3217, San Diego, CA 92108 Phone: 702-525-9299 |
Sean S Mcintire, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121 Phone: 858-587-8669 Fax: 858-587-8675 |
Elena Hapke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4094 4th Ave, San Diego, CA 92103 Phone: 619-515-2545 |
Jessica J Wu, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5190 Governor Dr Ste 107, San Diego, CA 92122 Phone: 858-304-6440 |
Jon Garrelts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189 |