| Megan Elizabeth Shannon, | |
|
126 Avocado Ave Ste 107, Perris, CA 92571-2605 | |
| (951) 943-8105 | |
| (951) 943-8106 |
| Full Name | Megan Elizabeth Shannon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 126 Avocado Ave Ste 107, Perris, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174249494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02040400 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | 303348 (California) | Primary |
| Provider Name | Mdrs Spine & Sport Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
| Provider Name | Rancho Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679541320 PECOS PAC ID: 2365346491 Enrollment ID: O20040127001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Elizabeth Shannon, 216 Van Ave, Pompton Lakes, NJ 07442-1337 Ph: (973) 557-7053 | Megan Elizabeth Shannon, 126 Avocado Ave Ste 107, Perris, CA 92571-2605 Ph: (951) 943-8105 |
Rancho Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Avocado Ave, Ste 107, Perris, CA 92571 Phone: 951-943-8105 Fax: 951-943-8106 | |
Nayer Nazeer Ragheb, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2226 Medical Center Dr Ste 102, Perris, CA 92571 Phone: 951-657-1400 Fax: 951-657-0661 | |
Dang M Ngo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 126 Avocado Ave, Suite 107, Perris, CA 92571 Phone: 951-943-8105 Fax: 951-943-8106 | |
Brian Alan Smith, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Avocado Ave, Suite 107, Perris, CA 92571 Phone: 951-943-8105 Fax: 951-943-8106 | |
Trac Physcial Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2226 Medical Center Dr, #102, Perris, CA 92571 Phone: 951-657-1400 Fax: 951-657-0661 | |
Angel Salvador Ramirez Lomeli, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 121 Elmtree Dr, Perris, CA 92571 Phone: 195-184-2994 |