Ms Elmma Judith Pena, PT | |
291 E Main St, Los Gatos, CA 95030-6137 | |
(408) 523-3067 | |
Not Available |
Full Name | Ms Elmma Judith Pena |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 291 E Main St, Los Gatos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265989255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 39084 (California) | Primary |
Provider Name | Sutter Bay Medical Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
---|---|
Ms Elmma Judith Pena, PT 325 Distel Cir, Los Altos, CA 94022-1408 Ph: () - | Ms Elmma Judith Pena, PT 291 E Main St, Los Gatos, CA 95030-6137 Ph: (408) 523-3067 |
Richard P. Carr Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15215 National Ave, Suite 100a, Los Gatos, CA 95032 Phone: 408-358-7326 | |
Tealin Kelemen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16185 Los Gatos Blvd Ste 205, Los Gatos, CA 95032 Phone: 866-839-6979 | |
Wendy Johnson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16185 Los Gatos Blvd Ste 205, Los Gatos, CA 95032 Phone: 866-839-6979 | |
Maurice White, Physical Therapist Medicare: Medicare Enrolled Practice Location: 16185 Los Gatos Blvd Ste 205, Los Gatos, CA 95032 Phone: 866-839-6979 | |
Mrs. Melanie Grace Low, BSC (PHYSIOTHERAPY) Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14103 Winchester Blvd, Los Gatos, CA 95032 Phone: 408-868-5577 Fax: 408-841-7205 | |
Nadia Marangao De Melo Brasil, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16185 Los Gatos Blvd Ste 205, Los Gatos, CA 95032 Phone: 866-839-6979 | |
Gauri Sawant, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16412 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-356-2191 |