| Santa Maria Valley Physical Therapy Group, Inc. | |
|
820 E Enos Dr, Santa Maria, CA 93454 | |
| (805) 928-8257 | |
| (805) 349-7206 |
| Full Name | Santa Maria Valley Physical Therapy Group, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 820 E Enos Dr, Santa Maria, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548260367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Samantha C Stollberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184604688 PECOS PAC ID: 6002720554 Enrollment ID: I20031118000760 |
| Provider Name | Jared M Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043290554 PECOS PAC ID: 8224935853 Enrollment ID: I20031216000601 |
| Provider Name | Karen N Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225008444 PECOS PAC ID: 8123085727 Enrollment ID: I20041215000595 |
| Provider Name | Todd James Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902876121 PECOS PAC ID: 8325005077 Enrollment ID: I20041215000670 |
| Provider Name | John T Hollinshead |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710967229 PECOS PAC ID: 4688631203 Enrollment ID: I20041215000768 |
| Provider Name | Adrian M Asencio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356357776 PECOS PAC ID: 9133165939 Enrollment ID: I20050701000451 |
| Provider Name | Israel R Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295892925 PECOS PAC ID: 9133394737 Enrollment ID: I20111209000440 |
| Provider Name | Paul L Manosar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538592167 PECOS PAC ID: 4486880085 Enrollment ID: I20131203001176 |
| Provider Name | Brent A Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720455066 PECOS PAC ID: 3375853385 Enrollment ID: I20151103002439 |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Maria Valley Physical Therapy Group, Inc. 820 E Enos Dr, Santa Maria, CA 93454 Ph: (805) 928-8257 | Santa Maria Valley Physical Therapy Group, Inc. 820 E Enos Dr, Santa Maria, CA 93454 Ph: (805) 928-8257 |
Matthew Sagisi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935 | |
Dr. Ernesto Josue Vega, PT,DPT,CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 526 San Diego St, Santa Maria, CA 93455 Phone: 805-867-3110 | |
Staci Lynn-sargent Mc Lean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015b S Broadway, Santa Maria, CA 93454 Phone: 805-440-9318 Fax: 805-938-5390 | |
Dallan Noel Rigby, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 N Miller St, Santa Maria, CA 93454 Phone: 805-739-2518 | |
Quentin Doug Sims Iii, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935 | |
Alexis Emmanuel Camacho Zarate, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N College Dr Ste 203, Santa Maria, CA 93454 Phone: 805-922-1724 | |
Mr. Gino John Brunello, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935 |