| Sports Medicine Institute A Professional Physical Therapy Corp | |
|
415 W Taft Ave Ste E, Orange, CA 92865-4249 | |
| (714) 939-6200 | |
| (714) 939-6500 |
| Full Name | Sports Medicine Institute A Professional Physical Therapy Corp |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 415 W Taft Ave Ste E, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144222308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Joan Boesel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528060712 PECOS PAC ID: 0042103574 Enrollment ID: I20120209000780 |
| Provider Name | Ashley Rojan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659742088 PECOS PAC ID: 0042590341 Enrollment ID: I20161202000643 |
| Provider Name | Taylor Escobar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104523133 PECOS PAC ID: 5991179038 Enrollment ID: I20230313002081 |
| Provider Name | Julia Santana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922824655 PECOS PAC ID: 6507393980 Enrollment ID: I20241224001174 |
| Provider Name | Samantha Audrey Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073320826 PECOS PAC ID: 5799214730 Enrollment ID: I20250121002507 |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Medicine Institute A Professional Physical Therapy Corp 415 W Taft Ave Ste E, Orange, CA 92865-4249 Ph: (714) 939-6200 | Sports Medicine Institute A Professional Physical Therapy Corp 415 W Taft Ave Ste E, Orange, CA 92865-4249 Ph: (714) 939-6200 |
Ray Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 388 W Tulip Tree Ave, Orange, CA 92865 Phone: 714-906-8399 | |
Sports Conditioning And Rehabilitation Of California Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 871 S Tustin St, Orange, CA 92866 Phone: 714-633-7227 Fax: 714-633-9062 | |
Mr. Chad J Nicholson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4201 W Chapman Ave, Orange, CA 92868 Phone: 714-748-6146 | |
Mr. Michael Dean Hairston, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1178 N Tustin St, Orange, CA 92867 Phone: 714-289-7790 Fax: 714-289-7786 | |
Cherie Brown, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7732 E Santiago Canyon Rd, Orange, CA 92869 Phone: 714-771-5276 Fax: 714-771-1452 | |
Ms. Karen Rosen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 N Capri St, Orange, CA 92865 Phone: 714-458-8558 Fax: 714-637-0743 | |
Dr. Rebecca Marie Farahat, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1224 E Katella Ave, Orange, CA 92867 Phone: 714-501-7028 |