| Prime Rehab Center Physical Therapy A Professional Corporation | |
|
8545 Sierra Ave, Fontana, CA 92335-3868 | |
| (909) 365-3557 | |
| (909) 658-8987 |
| Full Name | Prime Rehab Center Physical Therapy A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 8545 Sierra Ave, Fontana, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669914396 | NPI | - | NPPES |
| PT35680 | Other | CA | CALIFORNIA PHYSICAL THERAPY BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT35680 (California) | Primary |
| Provider Name | Hosuk Lee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619019445 PECOS PAC ID: 7315046620 Enrollment ID: I20070627000719 |
| Provider Name | Seung Hyuk Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932331410 PECOS PAC ID: 9537215991 Enrollment ID: I20090926000040 |
| Provider Name | Elena Decastro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073831582 PECOS PAC ID: 8123214053 Enrollment ID: I20101118000220 |
| Provider Name | Minh Pham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316364284 PECOS PAC ID: 4486887809 Enrollment ID: I20140508001721 |
| Provider Name | Steve Chu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265043178 PECOS PAC ID: 9133547847 Enrollment ID: I20200911002792 |
| Provider Name | Dajeong Nam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366040008 PECOS PAC ID: 8426460916 Enrollment ID: I20201207000578 |
| Provider Name | Stephen Gant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235709411 PECOS PAC ID: 9931576600 Enrollment ID: I20221109001695 |
| Provider Name | Sehyuk Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285320176 PECOS PAC ID: 1153788237 Enrollment ID: I20230605002636 |
| Provider Name | Ahram Hong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124806716 PECOS PAC ID: 3870948573 Enrollment ID: I20231016002780 |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Rehab Center Physical Therapy A Professional Corporation 8545 Sierra Ave, Fontana, CA 92335-3868 Ph: (909) 365-3557 | Prime Rehab Center Physical Therapy A Professional Corporation 8545 Sierra Ave, Fontana, CA 92335-3868 Ph: (909) 365-3557 |
Sheila Ann Vanallen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Building 3a, Fontana, CA 92335 Phone: 909-427-7727 | |
Walter Tablante De Jesus, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13578 Hatcher Pl, Fontana, CA 92336 Phone: 909-641-1096 | |
Cristian David Alvarez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 833-574-2273 | |
Paula Ann Shearer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4075 | |
Jeanie Salvador, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Avenue, Fontana, CA 92335 Phone: 909-427-7900 | |
Marissa Huma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 951-295-4253 | |
Ing Chang, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4075 |