| Miranda Judge, | |
|
16008 Kamana Rd Ste 200, Apple Valley, CA 92307-1376 | |
| (760) 810-7767 | |
| Not Available |
| Full Name | Miranda Judge |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 16008 Kamana Rd Ste 200, Apple Valley, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710633565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| All Star Physical Therapy | 7719030949 | 119 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Provider Name | All Star Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750559431 PECOS PAC ID: 7719030949 Enrollment ID: O20090812000451 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Judge, 24630 Washington Ave Ste 201, Murrieta, CA 92562-6177 Ph: (195) 120-0362 | Miranda Judge, 16008 Kamana Rd Ste 200, Apple Valley, CA 92307-1376 Ph: (760) 810-7767 |
Dr. Haley Renee Grace, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16008 Kamana Rd Ste 200&202b, Apple Valley, CA 92307 Phone: 760-810-7767 | |
Russell Bonjour, Physical Therapist Medicare: Medicare Enrolled Practice Location: 11825 Apple Valley Rd, Apple Valley, CA 92308 Phone: 760-503-7787 | |
Kavan Muneshbhai Shah, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19015 Town Center Dr Ste 102, Apple Valley, CA 92308 Phone: 760-961-4240 Fax: 760-961-4705 | |
Audrey Monique Reyes Sese, PT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16008 Kamana Rd Ste 200, Apple Valley, CA 92307 Phone: 760-810-7767 Fax: 760-810-7769 | |
Dillon Martinez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16008 Kamana Rd Ste 200, Apple Valley, CA 92307 Phone: 760-810-7767 Fax: 760-810-7769 | |
Caitlin Mccurley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16008 Kamana Rd Ste 200, Apple Valley, CA 92307 Phone: 760-810-7767 Fax: 760-810-7769 | |
Christopher Gorton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18805 Bear Valley Rd, Apple Valley, CA 92308 Phone: 760-247-4480 |