| Praxis Physical Therapy, Inc. | |
|
1360 W 6th St, #210 North Building, San Pedro, CA 90732-3514 | |
| (310) 548-3130 | |
| Not Available |
| Full Name | Praxis Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1360 W 6th St, San Pedro, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003960949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT12729 (California) | Primary |
| Provider Name | Kathryn K Kassai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881788354 PECOS PAC ID: 8224225909 Enrollment ID: I20101207000804 |
| Provider Name | Matthew Breismeister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265772107 PECOS PAC ID: 8426291840 Enrollment ID: I20130903000632 |
| Provider Name | Rachel L Iwata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821490616 PECOS PAC ID: 8729302781 Enrollment ID: I20150121002195 |
| Provider Name | Jennifer Fuller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265668446 PECOS PAC ID: 3274849310 Enrollment ID: I20200428001142 |
| Provider Name | Jeffrey E Lum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376136366 PECOS PAC ID: 2163816679 Enrollment ID: I20220228000543 |
| Provider Name | Carmen Becerra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881410660 PECOS PAC ID: 1456873207 Enrollment ID: I20250320003348 |
| Mailing Address | Practice Location Address |
|---|---|
| Praxis Physical Therapy, Inc. 1360 W 6th St, #210 North Building, San Pedro, CA 90732-3514 Ph: (310) 548-3130 | Praxis Physical Therapy, Inc. 1360 W 6th St, #210 North Building, San Pedro, CA 90732-3514 Ph: (310) 548-3130 |
Alice Wang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 W 6th St, Suite 101, San Pedro, CA 90731 Phone: 310-547-1850 | |
Eric K Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 W 6th St Ste 101, San Pedro, CA 90731 Phone: 310-547-1850 Fax: 310-547-1972 | |
Christopher Santos Canlas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 W 6th St Ste 101, San Pedro, CA 90731 Phone: 310-547-1850 Fax: 310-547-1972 | |
Mr. Silverton Nguyen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 481 W 6th St, San Pedro, CA 90731 Phone: 424-536-3023 Fax: 424-536-3093 | |
Lisa J Shepard, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 West 6th Street, Suite 101, San Pedro, CA 90732 Phone: 310-547-1850 Fax: 310-547-1972 | |
Ma Christina Salgado-cortez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1176 W 14th St, San Pedro, CA 90731 Phone: 310-972-8049 |