| Pacific Physical Therapy | |
|
327 Main St, El Segundo, CA 90245-3814 | |
| (310) 725-8505 | |
| (310) 648-3175 |
| Full Name | Pacific Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 327 Main St, El Segundo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396799458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (California) | Primary |
| Provider Name | Martin J Schneckenberger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972621126 PECOS PAC ID: 2668561630 Enrollment ID: I20071129000292 |
| Provider Name | Christopher P Derosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003056797 PECOS PAC ID: 4284653171 Enrollment ID: I20100809000858 |
| Provider Name | Tami Chang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548400245 PECOS PAC ID: 4385838796 Enrollment ID: I20101029000926 |
| Provider Name | Garret L Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174840383 PECOS PAC ID: 9830363100 Enrollment ID: I20111122000886 |
| Provider Name | Lianne K Koo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063799898 PECOS PAC ID: 3072788637 Enrollment ID: I20111208000781 |
| Provider Name | Troy A Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760535314 PECOS PAC ID: 5193744084 Enrollment ID: I20111220000881 |
| Provider Name | Kelly Olin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235351586 PECOS PAC ID: 3577715036 Enrollment ID: I20121207000072 |
| Provider Name | Courtney Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821422353 PECOS PAC ID: 6305163411 Enrollment ID: I20150331000837 |
| Provider Name | William L Quibell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063742617 PECOS PAC ID: 4688971625 Enrollment ID: I20160318001019 |
| Provider Name | Jenna R Marshall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598464992 PECOS PAC ID: 8729452875 Enrollment ID: I20230313002515 |
| Provider Name | Seth T Pottenger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144920331 PECOS PAC ID: 1052786092 Enrollment ID: I20230405001462 |
| Provider Name | Ana M Beqaj |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073203618 PECOS PAC ID: 1254797368 Enrollment ID: I20230516001581 |
| Provider Name | Chih Chieh Chia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275313637 PECOS PAC ID: 7113372673 Enrollment ID: I20231018002813 |
| Provider Name | Lauren A Cheng |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407617095 PECOS PAC ID: 6901249168 Enrollment ID: I20240205004303 |
| Provider Name | David Xavier Portillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982467130 PECOS PAC ID: 9931543832 Enrollment ID: I20240220000103 |
| Provider Name | Daniel Klemencic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114781374 PECOS PAC ID: 6800231127 Enrollment ID: I20240227001052 |
| Provider Name | Christine Marie White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396509055 PECOS PAC ID: 6103261185 Enrollment ID: I20240229001501 |
| Provider Name | Kevin Cervantes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437989035 PECOS PAC ID: 3173062205 Enrollment ID: I20240903002270 |
| Provider Name | Michelle Khoshaba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124993720 PECOS PAC ID: 7315435443 Enrollment ID: I20251021004243 |
| Provider Name | Mark Mouhsen Gerges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962370627 PECOS PAC ID: 0042700932 Enrollment ID: I20251107004331 |
| Provider Name | Kelly Tyukody |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982394912 PECOS PAC ID: 3072970169 Enrollment ID: I20251120001761 |
| Provider Name | Brittnay Ualena Leon-guerrero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801751581 PECOS PAC ID: 1951897420 Enrollment ID: I20260105002412 |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Physical Therapy 327 Main St, El Segundo, CA 90245-3814 Ph: (310) 725-8505 | Pacific Physical Therapy 327 Main St, El Segundo, CA 90245-3814 Ph: (310) 725-8505 |
Christopher P Derosa, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Main St, El Segundo, CA 90245 Phone: 310-648-3167 |
Ashley Smith, PT, DPT, CCRT Physical Therapist Medicare: Medicare Enrolled Practice Location: 390 N Pacific Coast Hwy Ste 1000, El Segundo, CA 90245 Phone: 310-640-9911 |
Mr. Alex M Youssefian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd, Suite 2060, El Segundo, CA 90245 Phone: 626-394-1575 |
Shelby Plummer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 N Nash St Ste 306, El Segundo, CA 90245 Phone: 310-535-0008 |
Elizabeth Glozman, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572 |
Tag Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572 |
Lianne K Koo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Main St, El Segundo, CA 90245 Phone: 310-648-3167 Fax: 310-648-3175 |