| Pacificpro Physical Therapy & Sports Medicine | |
|
2 Peters Canyon Rd Ste 100, Irvine, CA 92606-1798 | |
| (949) 679-3988 | |
| (949) 679-7665 |
| Full Name | Pacificpro Physical Therapy & Sports Medicine |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2 Peters Canyon Rd Ste 100, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912953936 | NPI | - | NPPES |
| ZZZ08309Z | Other | CA | BLUE SHIELD OF CA PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 24608 (California) | Primary |
| 225100000X | Physical Therapist | 24357 (California) | Secondary |
| Provider Name | Bret Snyder Fairbanks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710900717 PECOS PAC ID: 9032106018 Enrollment ID: I20040503000958 |
| Provider Name | Trace Patric Power |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265455240 PECOS PAC ID: 8123936192 Enrollment ID: I20040503001215 |
| Provider Name | Jennifer Noel Butler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497730055 PECOS PAC ID: 8426093774 Enrollment ID: I20050627000994 |
| Provider Name | Dawn Asako Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063522548 PECOS PAC ID: 7911226923 Enrollment ID: I20150424000521 |
| Provider Name | Torey Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366966137 PECOS PAC ID: 8325391881 Enrollment ID: I20181030002593 |
| Provider Name | William Scott Keith Eldon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801378070 PECOS PAC ID: 2668717620 Enrollment ID: I20181219000980 |
| Provider Name | Laurie Elizabeth Loeffler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407403595 PECOS PAC ID: 6204166879 Enrollment ID: I20190924003148 |
| Provider Name | Peter Joseph Diaz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770128621 PECOS PAC ID: 3274954151 Enrollment ID: I20200601002183 |
| Provider Name | Michael Vuong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407495435 PECOS PAC ID: 4183059983 Enrollment ID: I20201014003667 |
| Provider Name | Christopher R Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538433107 PECOS PAC ID: 6800173071 Enrollment ID: I20210119002662 |
| Provider Name | Valerie Diane Feghali |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881940740 PECOS PAC ID: 3274782594 Enrollment ID: I20220811001563 |
| Provider Name | Lawrence Duplechan Iii |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114651411 PECOS PAC ID: 7517342892 Enrollment ID: I20220922003004 |
| Provider Name | Natalie Wek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548979578 PECOS PAC ID: 6800267105 Enrollment ID: I20230125000162 |
| Provider Name | Alyssa Raineri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013529346 PECOS PAC ID: 7810315645 Enrollment ID: I20230816001457 |
| Provider Name | Thu Vu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033895750 PECOS PAC ID: 8426411448 Enrollment ID: I20230823004552 |
| Provider Name | Dean Chung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700669538 PECOS PAC ID: 5496101396 Enrollment ID: I20231030001197 |
| Provider Name | Dean William Loomis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245016856 PECOS PAC ID: 8729422472 Enrollment ID: I20240221001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Pacificpro Physical Therapy & Sports Medicine 2 Peters Canyon Rd Ste 100, Irvine, CA 92606-1798 Ph: (949) 679-3988 | Pacificpro Physical Therapy & Sports Medicine 2 Peters Canyon Rd Ste 100, Irvine, CA 92606-1798 Ph: (949) 679-3988 |
Kimberly M. Maclean, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606 Phone: 949-265-2442 Fax: 949-265-2448 | |
Ms. Luz O Blake, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15715 Rockfield Boulevard, Suite 100, Irvine, CA 92618 Phone: 949-206-9100 Fax: 949-206-1648 | |
Davis Y Koh, DPT, MBA, GCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9080 Irvine Center Dr, Irvine, CA 92618 Phone: 949-540-5641 | |
Par Plus, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 16257 Laguna Canyon Rd, Suite # 150, Irvine, CA 92618 Phone: 949-727-0700 Fax: 949-727-0707 | |
Denise Marie Lane, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4482 Barranca Pkwy Ste 195, Irvine, CA 92604 Phone: 949-679-3337 Fax: 949-679-3336 | |
Matthew Hoang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17332 Von Karman Ave Ste 120, Irvine, CA 92614 Phone: 949-861-8600 | |
Shelly A Gadea, Physical Therapist Medicare: Medicare Enrolled Practice Location: 24 Hammond, Unit C, Irvine, CA 92618 Phone: 949-770-6022 Fax: 949-770-7084 |