| Rj Physical Therapy Group Inc | |
|
575 E Hardy St Ste 105, Inglewood, CA 90301-4040 | |
| (310) 412-0100 | |
| (310) 412-0110 |
| Full Name | Rj Physical Therapy Group Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 575 E Hardy St Ste 105, Inglewood, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306290085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT22486 (California) | Primary |
| Provider Name | Danielle E Wortham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891902649 PECOS PAC ID: 6204723067 Enrollment ID: I20040304000514 |
| Provider Name | Ronnie Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487754883 PECOS PAC ID: 2769449826 Enrollment ID: I20041210000393 |
| Provider Name | Amanda Ramirez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912256181 PECOS PAC ID: 3072761949 Enrollment ID: I20120918000736 |
| Provider Name | Dwight Anthony Barnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376791137 PECOS PAC ID: 7416272042 Enrollment ID: I20150202001998 |
| Provider Name | Tanawaja Bailey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861082539 PECOS PAC ID: 5799193470 Enrollment ID: I20210419000500 |
| Provider Name | Amber Bethanny Fulford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477929685 PECOS PAC ID: 9133429780 Enrollment ID: I20210928000126 |
| Provider Name | Hyeseong Choi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619633872 PECOS PAC ID: 2264802677 Enrollment ID: I20221229001764 |
| Provider Name | Sang Ho Son |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205527595 PECOS PAC ID: 3274990114 Enrollment ID: I20230607002373 |
| Provider Name | Lillian Maglaris Gabaldon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093592776 PECOS PAC ID: 8426402298 Enrollment ID: I20230927002618 |
| Mailing Address | Practice Location Address |
|---|---|
| Rj Physical Therapy Group Inc Po Box 452464, Los Angeles, CA 90045-8533 Ph: () - | Rj Physical Therapy Group Inc 575 E Hardy St Ste 105, Inglewood, CA 90301-4040 Ph: (310) 412-0100 |
Diana Kraikittikun, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 310-680-8490 | |
Carole Lenore Straub, MS,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 N Prairie Ave, Suite A, Inglewood, CA 90301 Phone: 310-673-9861 | |
Sang Ho Son, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 575 E Hardy St Ste 105, Inglewood, CA 90301 Phone: 310-412-0100 Fax: 310-412-0110 | |
Clarissa Villar Velandres, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 S Flower St, Inglewood, CA 90301 Phone: 310-674-3216 | |
Janis Ozaki, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 310-980-8491 Fax: 310-412-4512 | |
Inglewood Physical Therapy Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 N Prairie Ave, Suite A, Inglewood, CA 90301 Phone: 310-673-9861 Fax: 310-673-7856 |