| Park Avenue Physical Therapy, Inc | |
|
2808 Park Ave, Suite B, Merced, CA 95348-3392 | |
| (209) 723-8144 | |
| (209) 723-5605 |
| Full Name | Park Avenue Physical Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2808 Park Ave, Merced, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659792356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 29991 (California) | Primary |
| Provider Name | Christopher N Diredo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003820267 PECOS PAC ID: 8820041973 Enrollment ID: I20050301000322 |
| Provider Name | Halle Clementi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891465399 PECOS PAC ID: 8820480940 Enrollment ID: I20220124001666 |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Physical Therapy, Inc 2808 Park Ave, Suite B, Merced, CA 95348-3392 Ph: (209) 723-8144 | Park Avenue Physical Therapy, Inc 2808 Park Ave, Suite B, Merced, CA 95348-3392 Ph: (209) 723-8144 |
Christopher Nicolas Di Redo, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2808 Park Ave Ste B, Merced, CA 95348 Phone: 209-723-8144 Fax: 209-723-5605 | |
Megan Clare Kravec, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 424 E Yosemite Ave Ste C, Merced, CA 95340 Phone: 209-325-4710 | |
Mrs. Nicole Renee Delworth, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 786 Loughborough Dr, Merced, CA 95348 Phone: 209-725-8680 Fax: 209-725-2617 | |
Madeleine Hanneman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 424 W Yosemite Ave Ste C, Merced, CA 95340 Phone: 209-726-9000 | |
Kelsey Grimaldi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Mercy Ave, Merced, CA 95340 Phone: 209-564-5000 | |
Homer Corpus Saclayan, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Seneca St, Merced, CA 95340 Phone: 773-762-4101 | |
Cali Performance Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 W 15th St, Merced, CA 95340 Phone: 205-719-7423 |