| Nexus Physical Therapy | |
|
522 Jamacha Rd, Elcajon, CA 92019-2448 | |
| (619) 579-1625 | |
| (619) 579-1611 |
| Full Name | Nexus Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 522 Jamacha Rd, Elcajon, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952461741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT22612 (California) | Secondary |
| 225100000X | Physical Therapist | PT23338 (California) | Primary |
| Provider Name | Michael Scott Kuenning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043304702 PECOS PAC ID: 5294762126 Enrollment ID: I20050916000449 |
| Provider Name | Rebecca Pagdan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912103383 PECOS PAC ID: 8820180045 Enrollment ID: I20070817000297 |
| Provider Name | Chad R Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841307063 PECOS PAC ID: 7214995760 Enrollment ID: I20140505002131 |
| Provider Name | Carol A Roeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174983415 PECOS PAC ID: 9234435173 Enrollment ID: I20160302002660 |
| Provider Name | Maya Anne Bizik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730531328 PECOS PAC ID: 9638458516 Enrollment ID: I20161116002702 |
| Provider Name | Ramtin Kouchak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891218350 PECOS PAC ID: 3274808225 Enrollment ID: I20171002002309 |
| Provider Name | Christina Nunez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801314687 PECOS PAC ID: 2264708353 Enrollment ID: I20171017002070 |
| Provider Name | Collen E Wooten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356852495 PECOS PAC ID: 4082973375 Enrollment ID: I20180111002988 |
| Provider Name | Jinal Vora |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306345160 PECOS PAC ID: 8820350879 Enrollment ID: I20180419001853 |
| Provider Name | Brian Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063050748 PECOS PAC ID: 0840628517 Enrollment ID: I20200330003638 |
| Provider Name | Samuel Cauble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578157228 PECOS PAC ID: 2668871716 Enrollment ID: I20210524000692 |
| Provider Name | Jenna M Bergmark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376115774 PECOS PAC ID: 4880097260 Enrollment ID: I20210722001496 |
| Provider Name | Kevin Lacapria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700554524 PECOS PAC ID: 0840680682 Enrollment ID: I20211209001184 |
| Provider Name | Hao Z Li |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689332397 PECOS PAC ID: 0244626448 Enrollment ID: I20220414001171 |
| Provider Name | Ulysses Jimenez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477217966 PECOS PAC ID: 9931596038 Enrollment ID: I20220419003044 |
| Provider Name | Jamie Shen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194460782 PECOS PAC ID: 0244608974 Enrollment ID: I20221130000582 |
| Provider Name | Kristian G Sabio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912621301 PECOS PAC ID: 7416326756 Enrollment ID: I20221208002523 |
| Provider Name | Anthony Tran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184322620 PECOS PAC ID: 9133593023 Enrollment ID: I20230315002651 |
| Provider Name | Patrick Maxwell Swank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790331627 PECOS PAC ID: 6002286994 Enrollment ID: I20230404002720 |
| Provider Name | Natalie Dereka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417212564 PECOS PAC ID: 7810231123 Enrollment ID: I20231009000476 |
| Provider Name | Mario Mezo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467275370 PECOS PAC ID: 4789113036 Enrollment ID: I20250130003993 |
| Mailing Address | Practice Location Address |
|---|---|
| Nexus Physical Therapy P.o. Box 2696, Elcajon, CA 92021-2696 Ph: (619) 579-1625 | Nexus Physical Therapy 522 Jamacha Rd, Elcajon, CA 92019-2448 Ph: (619) 579-1625 |