| Sparc Physical Therapy, Inc. | |
|
3878 W Carson St Ste 101, Torrance, CA 90503-6707 | |
| (310) 316-8878 | |
| (310) 316-8879 |
| Full Name | Sparc Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3878 W Carson St Ste 101, Torrance, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396205548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Christopher Kwon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790284446 PECOS PAC ID: 0941562268 Enrollment ID: I20180327001465 |
| Provider Name | Christopher Bostwick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841874039 PECOS PAC ID: 0345647970 Enrollment ID: I20210924001564 |
| Provider Name | Lindsey Denise Rubinsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700523677 PECOS PAC ID: 1557741758 Enrollment ID: I20220706001460 |
| Provider Name | Robert Yu Chuman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801674445 PECOS PAC ID: 3375992944 Enrollment ID: I20231207001987 |
| Provider Name | Abigail Geneva Estrada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699546788 PECOS PAC ID: 7012358450 Enrollment ID: I20240515004477 |
| Provider Name | Karina Lea Nichols |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184461196 PECOS PAC ID: 4082154661 Enrollment ID: I20240910002170 |
| Provider Name | Michael Salazar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487470803 PECOS PAC ID: 9133649882 Enrollment ID: I20250225001254 |
| Mailing Address | Practice Location Address |
|---|---|
| Sparc Physical Therapy, Inc. 3878 W Carson St Ste 101, Torrance, CA 90503-6707 Ph: (310) 316-8878 | Sparc Physical Therapy, Inc. 3878 W Carson St Ste 101, Torrance, CA 90503-6707 Ph: (310) 316-8878 |
Jessica Dimaunahan Sison, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21825 Hawthorne Blvd, Torrance, CA 90503 Phone: 310-542-5878 | |
Thomas James Cipolla, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2355 Crenshaw Blvd Ste 130, Torrance, CA 90501 Phone: 310-539-8800 Fax: 424-203-8389 | |
Henrey Dwight Kelsey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3500 Lomita Blvd, Ste M100, Torrance, CA 90505 Phone: 310-325-7404 Fax: 310-325-4971 | |
Dr. Noelle Gilson Budrovich, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2842 Sepulveda Blvd, Torrance, CA 90505 Phone: 310-325-0800 Fax: 310-325-7705 | |
Jennifer B. Stahl, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3858 W Carson St, Suite 121, Torrance, CA 90503 Phone: 310-543-9333 Fax: 310-405-0954 | |
Greg Edward Petersen, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3878 W Carson St, Suite 100, Torrance, CA 90503 Phone: 310-543-4655 Fax: 310-543-1743 | |
Torrance Orthopedic Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23456 Hawthorne Blvd, Suite 300 B, Torrance, CA 90505 Phone: 310-540-7381 Fax: 310-316-1788 |