| Nicholas Smith, DPT | |
|
32246 Clinton Keith Rd Ste 103, Wildomar, CA 92595-7320 | |
| (951) 677-7221 | |
| (951) 677-7331 |
| Full Name | Nicholas Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 32246 Clinton Keith Rd Ste 103, Wildomar, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477310787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 305715 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| All Star Physical Therapy | 7719030949 | 119 |
| 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 |
|---|---|
| Nicholas Smith, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (951) 335-9825 | Nicholas Smith, DPT 32246 Clinton Keith Rd Ste 103, Wildomar, CA 92595-7320 Ph: (951) 677-7221 |
Billi-jo Shirley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32246 Clinton Keith Rd Ste 103, Wildomar, CA 92595 Phone: 951-677-7221 Fax: 951-677-7331 | |
Dr. Madalyn Jasper, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 951-677-1111 | |
Mrs. Diane Christine Senior, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36485 Inland Valley Drive, Wildomar, CA 92595 Phone: 951-696-2604 Fax: 951-677-9788 | |
Barbara Ann Thomas, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 25125 Clinton Keith Rd, Wildomar, CA 92595 Phone: 951-218-6787 Fax: 951-813-3899 | |
Nathan J Lessard, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32246 Clinton Keith Rd, Wildomar, CA 92595 Phone: 951-677-7221 Fax: 951-677-7331 | |
Nasko Lubenov Atanassov, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36485 Inland Valey Drive, Wildomar, CA 92595 Phone: 951-696-2604 |