| Power Center Physical Therapy Incorporated | |
|
17270 Bear Valley Rd, Ste 105, Victorville, CA 92395-7751 | |
| (760) 245-8828 | |
| (855) 891-9996 |
| Full Name | Power Center Physical Therapy Incorporated |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 17270 Bear Valley Rd, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508948837 | NPI | - | NPPES |
| 5557690001 | Other | CA | DMERC |
| DE2261 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Yvette B Sardillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174605406 PECOS PAC ID: 7810938461 Enrollment ID: I20050513000606 |
| Provider Name | Denise M Kuhn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750327102 PECOS PAC ID: 6103836184 Enrollment ID: I20060504000816 |
| Provider Name | Faris S Alshammari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508287905 PECOS PAC ID: 7315165628 Enrollment ID: I20140828001394 |
| Provider Name | Amanda Shin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043783350 PECOS PAC ID: 9830434893 Enrollment ID: I20181219001000 |
| Provider Name | Yan Hein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639880040 PECOS PAC ID: 0244600971 Enrollment ID: I20230210001442 |
| Provider Name | Catherine Toews |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952023418 PECOS PAC ID: 7810350675 Enrollment ID: I20230825002322 |
| Provider Name | John James Sumilat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992421200 PECOS PAC ID: 0648625285 Enrollment ID: I20231017001261 |
| Provider Name | Fuad Al-dabbak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366229585 PECOS PAC ID: 4880044924 Enrollment ID: I20240102001508 |
| Provider Name | Kallie Kathleen Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659150910 PECOS PAC ID: 1759724420 Enrollment ID: I20240209000610 |
| Provider Name | Natalie Lynn Phillips |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649044512 PECOS PAC ID: 4981041936 Enrollment ID: I20240326001955 |
| Provider Name | Jason Jackson Daniel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609604354 PECOS PAC ID: 8729515994 Enrollment ID: I20241230001810 |
| Mailing Address | Practice Location Address |
|---|---|
| Power Center Physical Therapy Incorporated 17270 Bear Valley Rd, Ste 105, Victorville, CA 92395-7751 Ph: (760) 245-8828 | Power Center Physical Therapy Incorporated 17270 Bear Valley Rd, Ste 105, Victorville, CA 92395-7751 Ph: (760) 245-8828 |
Joanne Ingram, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Ste E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Janette Joyce Mary Coppotelli, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Suite E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Nicholas Kasischke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15095 Amargosa Rd Ste 106, Victorville, CA 92394 Phone: 760-245-6495 | |
Amanda Shin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17270 Bear Valley Rd Ste 105, Victorville, CA 92395 Phone: 760-245-8828 | |
Karley Ruble, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12241 Industrial Blvd Ste 210, Victorville, CA 92395 Phone: 800-489-6905 | |
Lauretta Marie Rustad, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12402 Industrial Blvd, Suite B-2, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Jeremy J Mumu, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12402 Industrial Blvd, Suite B2, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 |