| San Luis Physical Therapy & Orthopedic Rehabilitation Inc | |
|
805 Aerovista Pl Ste 104, San Luis Obispo, CA 93401-7921 | |
| (805) 543-7771 | |
| (805) 543-7761 |
| Full Name | San Luis Physical Therapy & Orthopedic Rehabilitation Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 805 Aerovista Pl Ste 104, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073552378 | NPI | - | NPPES |
| Provider Name | Toni J Oliver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942302849 PECOS PAC ID: 8527045715 Enrollment ID: I20040706000970 |
| Provider Name | Michael Peter Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356443493 PECOS PAC ID: 8022095140 Enrollment ID: I20040706001258 |
| Provider Name | Jason Sanders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174554075 PECOS PAC ID: 4789664970 Enrollment ID: I20040720000882 |
| Provider Name | Kelly Sanders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316978182 PECOS PAC ID: 4789664988 Enrollment ID: I20040720000956 |
| Provider Name | Richard M Goldbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003848169 PECOS PAC ID: 6800847047 Enrollment ID: I20050204000791 |
| Provider Name | Colleen Russell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922173574 PECOS PAC ID: 6709886260 Enrollment ID: I20070105000422 |
| Provider Name | Jennifer Seay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205019809 PECOS PAC ID: 9739261991 Enrollment ID: I20080125000691 |
| Provider Name | Frederic Hanker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396776779 PECOS PAC ID: 1850434549 Enrollment ID: I20100203000378 |
| Provider Name | Jason A Roda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093746281 PECOS PAC ID: 7517944606 Enrollment ID: I20100204000062 |
| Provider Name | Julie Butler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538197819 PECOS PAC ID: 8921141425 Enrollment ID: I20100205000454 |
| Provider Name | Robert Limone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629045570 PECOS PAC ID: 9931092129 Enrollment ID: I20100923000384 |
| Provider Name | Colleen R Vecchetti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659676849 PECOS PAC ID: 3476735234 Enrollment ID: I20110315000871 |
| Provider Name | Mackenzie N Dake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639476039 PECOS PAC ID: 2365625167 Enrollment ID: I20110331000224 |
| Provider Name | Michael W Brinkman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568609048 PECOS PAC ID: 2062685258 Enrollment ID: I20111103000630 |
| Provider Name | Emily L Watts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710269246 PECOS PAC ID: 4486828670 Enrollment ID: I20111128000679 |
| Provider Name | Jacquelyn Lee Kemp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831462977 PECOS PAC ID: 2466615281 Enrollment ID: I20120515000211 |
| Provider Name | Eliza R Downs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093050387 PECOS PAC ID: 6002069945 Enrollment ID: I20121231000213 |
| Provider Name | Janey L Troxell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306038682 PECOS PAC ID: 2860647419 Enrollment ID: I20130305000140 |
| Provider Name | Lori A Dentinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699815787 PECOS PAC ID: 9537300090 Enrollment ID: I20130725000243 |
| Provider Name | Kalahan Slette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144653569 PECOS PAC ID: 5799914883 Enrollment ID: I20140213000741 |
| Provider Name | Brandon N Weipert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265858385 PECOS PAC ID: 0547493009 Enrollment ID: I20140507001783 |
| Provider Name | Nathan Velazquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770999047 PECOS PAC ID: 2769604230 Enrollment ID: I20141118000733 |
| Provider Name | Julie Sarah-claire Rawlings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891170486 PECOS PAC ID: 0345556049 Enrollment ID: I20150826000119 |
| Provider Name | Wade Nolte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518356880 PECOS PAC ID: 0749507507 Enrollment ID: I20160713002127 |
| Provider Name | Kristine Csicsery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386097079 PECOS PAC ID: 3375838063 Enrollment ID: I20160819000331 |
| Provider Name | Megan L Meisenheimer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750749107 PECOS PAC ID: 6709161722 Enrollment ID: I20170314000464 |
| Provider Name | Nicole Yvonne Wessel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316486921 PECOS PAC ID: 0345518791 Enrollment ID: I20170608000535 |
| Provider Name | Troy Mcclanahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992239263 PECOS PAC ID: 8820366933 Enrollment ID: I20170614000819 |
| Provider Name | Jonathan Grisanti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144757667 PECOS PAC ID: 1052680527 Enrollment ID: I20170627002480 |
| Provider Name | Courtney Mahaffey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659897247 PECOS PAC ID: 5799051819 Enrollment ID: I20171017003487 |
| Provider Name | Kyle Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417473539 PECOS PAC ID: 0547536070 Enrollment ID: I20171026003524 |
| Provider Name | Britney Grayson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730673286 PECOS PAC ID: 7315293883 Enrollment ID: I20180713001089 |
| Provider Name | Nicole Bergesch Dela Cruz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730646779 PECOS PAC ID: 3476896549 Enrollment ID: I20190514001331 |
| Provider Name | Eric Balash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336705862 PECOS PAC ID: 6305171885 Enrollment ID: I20190708000430 |
| Provider Name | Nicholas David Lacey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639638984 PECOS PAC ID: 6507196466 Enrollment ID: I20190919002509 |
| Provider Name | Amy Gaffney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669017166 PECOS PAC ID: 7113350844 Enrollment ID: I20191210002187 |
| Provider Name | Jose Ramon Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821635319 PECOS PAC ID: 1759718711 Enrollment ID: I20200304000199 |
| Provider Name | Kelly Jarrett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831703065 PECOS PAC ID: 3577981174 Enrollment ID: I20200914002689 |
| Provider Name | Avi Feldman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134727126 PECOS PAC ID: 8729498506 Enrollment ID: I20201105002430 |
| Provider Name | Evelyn N Delgado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932703360 PECOS PAC ID: 9537572128 Enrollment ID: I20201228000552 |
| Provider Name | Aaron Moreno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821690140 PECOS PAC ID: 3870906944 Enrollment ID: I20210108002365 |
| Provider Name | Lauren Yamada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124621008 PECOS PAC ID: 5890108864 Enrollment ID: I20210112001585 |
| Provider Name | Alexandria Dalley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316513856 PECOS PAC ID: 8426459868 Enrollment ID: I20210623002124 |
| Provider Name | Daniel Apodaca |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285307660 PECOS PAC ID: 8820493174 Enrollment ID: I20210824003078 |
| Provider Name | Marissa Battaglia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396411138 PECOS PAC ID: 6709282379 Enrollment ID: I20210907001907 |
| Provider Name | Jay Michael Hayward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649867516 PECOS PAC ID: 4385041474 Enrollment ID: I20210915003263 |
| Provider Name | Kimberly Tomooka Mccarty Dobbe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811663669 PECOS PAC ID: 9032516505 Enrollment ID: I20210927000637 |
| Provider Name | Halie Gordon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295400307 PECOS PAC ID: 2163820226 Enrollment ID: I20211005001203 |
| Provider Name | Kyle Cristal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871246884 PECOS PAC ID: 2567849045 Enrollment ID: I20220523001986 |
| Provider Name | Dylan Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649752700 PECOS PAC ID: 8820477052 Enrollment ID: I20220619000034 |
| Provider Name | Alan De Vera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639807670 PECOS PAC ID: 2668855701 Enrollment ID: I20220823000258 |
| Provider Name | Brittany Palish |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881047173 PECOS PAC ID: 6305133455 Enrollment ID: I20220823003350 |
| Provider Name | Kristen Dibernardo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700576865 PECOS PAC ID: 6305203209 Enrollment ID: I20230608001225 |
| Provider Name | Haley Kubinak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760160261 PECOS PAC ID: 5395105423 Enrollment ID: I20230720001402 |
| Provider Name | Mai Xiong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679253512 PECOS PAC ID: 2466814603 Enrollment ID: I20230818002877 |
| Provider Name | Whitney Marsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811773518 PECOS PAC ID: 7911351416 Enrollment ID: I20231003001555 |
| Provider Name | Melissa Trujillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306526249 PECOS PAC ID: 9436504537 Enrollment ID: I20231010001576 |
| Provider Name | Cynthia Vanessa Huerta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417734989 PECOS PAC ID: 7416302518 Enrollment ID: I20231010001608 |
| Provider Name | Crystal U Ignacio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952343667 PECOS PAC ID: 0143307546 Enrollment ID: I20231109002700 |
| Provider Name | Deborah Licata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578202123 PECOS PAC ID: 4981057684 Enrollment ID: I20240130000859 |
| Provider Name | Kieran Mcquade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093578692 PECOS PAC ID: 1456794965 Enrollment ID: I20240212001548 |
| Provider Name | Joshua Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982463766 PECOS PAC ID: 9931547767 Enrollment ID: I20240329000643 |
| Provider Name | Ceasar Saenz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205601481 PECOS PAC ID: 9830537604 Enrollment ID: I20240329002467 |
| Provider Name | William Carr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417690413 PECOS PAC ID: 5698162360 Enrollment ID: I20240416001968 |
| Provider Name | Hannah Gallardo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962242073 PECOS PAC ID: 9335681139 Enrollment ID: I20240607002932 |
| Provider Name | Orion Hollings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245991470 PECOS PAC ID: 7810380714 Enrollment ID: I20240731002073 |
| Provider Name | Rachel Barnett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598502247 PECOS PAC ID: 5294274080 Enrollment ID: I20240823003820 |
| Provider Name | Cooper Silva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497581599 PECOS PAC ID: 9436682564 Enrollment ID: I20241029001331 |
| Provider Name | Chandley Brelsford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063250454 PECOS PAC ID: 4183159064 Enrollment ID: I20241202002237 |
| Provider Name | Emma Cadwallader |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912493768 PECOS PAC ID: 8325494727 Enrollment ID: I20241218002041 |
| Provider Name | Megan Janard-howell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174261861 PECOS PAC ID: 6800275025 Enrollment ID: I20250130002737 |
| Provider Name | Harmony Mueth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295575181 PECOS PAC ID: 4486197084 Enrollment ID: I20250228003092 |
| Provider Name | Nikita Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770380545 PECOS PAC ID: 5294256152 Enrollment ID: I20250307000870 |
| Provider Name | Nicholas Lazzaro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699557736 PECOS PAC ID: 2163870684 Enrollment ID: I20250501001165 |
| Provider Name | Meghan Kathryn Bell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477337871 PECOS PAC ID: 5799133682 Enrollment ID: I20250513001115 |
| Provider Name | Christina Veras |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265959027 PECOS PAC ID: 1456626498 Enrollment ID: I20250612003785 |
| Mailing Address | Practice Location Address |
|---|---|
| San Luis Physical Therapy & Orthopedic Rehabilitation Inc 408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805 | San Luis Physical Therapy & Orthopedic Rehabilitation Inc 805 Aerovista Pl Ste 104, San Luis Obispo, CA 93401-7921 Ph: (805) 543-7771 |