| Seal Beach Physical Therapy Inc. | |
|
1005 Pacific Coast Hwy, Unit A2, Seal Beach, CA 90740-6214 | |
| (562) 598-5500 | |
| (562) 598-5550 |
| Full Name | Seal Beach Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1005 Pacific Coast Hwy, Seal Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316262983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT27143 (California) | Primary |
| Provider Name | Brandon Michael Dederich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912976853 PECOS PAC ID: 6800873894 Enrollment ID: I20040708000503 |
| Provider Name | Claudia P O Connor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720157217 PECOS PAC ID: 2860414737 Enrollment ID: I20051220001001 |
| Provider Name | Elizabeth A Mcgonagle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174894059 PECOS PAC ID: 3779743810 Enrollment ID: I20120327000447 |
| Provider Name | Charles Warren Bartleson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033699863 PECOS PAC ID: 5294071460 Enrollment ID: I20190108004087 |
| Provider Name | Heather Kincaid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356995559 PECOS PAC ID: 7214269851 Enrollment ID: I20191030003233 |
| Provider Name | Kyle Kurata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104539287 PECOS PAC ID: 7214300896 Enrollment ID: I20230301001898 |
| Provider Name | Jacob Adrian Manriquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477283877 PECOS PAC ID: 2466825724 Enrollment ID: I20230307002061 |
| Provider Name | Ashley Vinh Tang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013684422 PECOS PAC ID: 4981077286 Enrollment ID: I20230308000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Seal Beach Physical Therapy Inc. 1005 Pacific Coast Hwy, Unit A2, Seal Beach, CA 90740-6214 Ph: () - | Seal Beach Physical Therapy Inc. 1005 Pacific Coast Hwy, Unit A2, Seal Beach, CA 90740-6214 Ph: (562) 598-5500 |
Ashley Vinh Tang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1005 Pacific Coast Hwy Ste A2, Seal Beach, CA 90740 Phone: 562-598-5500 | |
Charles Warren Bartleson V, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1005 Pacific Coast Hwy, Seal Beach, CA 90740 Phone: 562-598-5500 | |
Mrs. Carol Christine Maiolfi Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4872 Candleberry Ave, Seal Beach, CA 90740 Phone: 562-225-5633 Fax: 562-596-6901 | |
Kyle Kurata, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1005 Pacific Coast Hwy, Seal Beach, CA 90740 Phone: 562-598-5500 | |
Justin Virgino, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12501 Seal Beach Blvd, Ste 210, Seal Beach, CA 90740 Phone: 562-493-8800 Fax: 562-493-2980 | |
Mackenzie Creehan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 Pacific Coast Hwy # A2, Seal Beach, CA 90740 Phone: 562-598-5500 Fax: 562-598-5550 | |
Robin Faustino Jr., PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13001 Seal Beach Blvd Ste 100, Seal Beach, CA 90740 Phone: 949-551-3860 |