| Mr Stephen P Mongiello, PT | |
|
247 Shoreline Hwy, Suite B2, Mill Valley, CA 94941-3664 | |
| (415) 796-3011 | |
| Not Available |
| Full Name | Mr Stephen P Mongiello |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 247 Shoreline Hwy, Mill Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427154475 | NPI | - | NPPES |
| 256164 | Other | HI | HMSA |
| 2745651 | Other | HI | UHA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2437 (Hawaii) | Primary |
| Provider Name | Renew Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1255508453 PECOS PAC ID: 6406022078 Enrollment ID: O20120103000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen P Mongiello, PT 1675 Clay St, Apartment Garden, San Francisco, CA 94109-3774 Ph: (415) 796-3011 | Mr Stephen P Mongiello, PT 247 Shoreline Hwy, Suite B2, Mill Valley, CA 94941-3664 Ph: (415) 796-3011 |
Tammara J Moore, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Shoreline Hwy Ste 210a, Mill Valley, CA 94941 Phone: 415-729-0441 | |
Physical Medicine Ctr Of Marin, A Pt Corp. Physical Therapist Medicare: Medicare Enrolled Practice Location: 33 Miller Ave, Mill Valley, CA 94941 Phone: 415-380-9242 Fax: 415-388-7458 | |
Mill Valley Physical Therapy Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 619 E Blithedale Ave, Bldg. B, Mill Valley, CA 94941 Phone: 415-388-5223 Fax: 415-388-5270 | |
Mrs. Brigitte G. Mcfadden, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 40 Camino Alto, Mill Valley, CA 94941 Phone: 415-383-2741 Fax: 415-383-4379 | |
Rodney R. Heschong, Rpt, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 619 E Blithedale Ave, Suite B, Mill Valley, CA 94941 Phone: 415-388-5223 Fax: 415-388-5270 | |
Erin Elizabeth Fitzpatrick, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 591 Redwood Hwy Frontage Rd Ste 2235, Mill Valley, CA 94941 Phone: 415-381-8707 | |
Lisa Sharon Iacovelli, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33 Miller Avenue, Mill Valley, CA 94941 Phone: 415-380-9242 Fax: 415-388-7458 |