| Sportsfit Physical Therapy Corporation | |
|
2010 Wilshire Blvd, Santa Monica, CA 90403-5608 | |
| (310) 878-2540 | |
| (310) 878-2536 |
| Full Name | Sportsfit Physical Therapy Corporation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 2010 Wilshire Blvd, Santa Monica, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558615492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT34446 (California) | Primary |
| Provider Name | Erik M Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982792560 PECOS PAC ID: 6800989476 Enrollment ID: I20070912000766 |
| Provider Name | Kenneth S Paik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538497862 PECOS PAC ID: 1850436528 Enrollment ID: I20100305000203 |
| Provider Name | Michael S Rose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821302324 PECOS PAC ID: 0244422426 Enrollment ID: I20101006000454 |
| Provider Name | Jourak Rick Rafael |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437338647 PECOS PAC ID: 7719168533 Enrollment ID: I20110225000537 |
| Provider Name | Kyle B Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013213917 PECOS PAC ID: 8820273105 Enrollment ID: I20110502000293 |
| Provider Name | Jessica Marie Finley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164773297 PECOS PAC ID: 8729224738 Enrollment ID: I20150630002396 |
| Provider Name | Jonathan R Cabral |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780184416 PECOS PAC ID: 1254694359 Enrollment ID: I20180423002317 |
| Provider Name | Kimberly E Kenyon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992156988 PECOS PAC ID: 4486947157 Enrollment ID: I20180730000763 |
| Provider Name | Adam Paicely |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568922953 PECOS PAC ID: 8820331051 Enrollment ID: I20190509002779 |
| Provider Name | Brandon Vu Pham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134687627 PECOS PAC ID: 3779811468 Enrollment ID: I20190819003368 |
| Provider Name | Anna Tayeko Suskin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487212080 PECOS PAC ID: 4789912692 Enrollment ID: I20190829002427 |
| Provider Name | Jessica Connor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184275604 PECOS PAC ID: 4688006190 Enrollment ID: I20191120003021 |
| Provider Name | Hal Platts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275172140 PECOS PAC ID: 2769818038 Enrollment ID: I20200204002781 |
| Provider Name | Silvio Zucchelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952068835 PECOS PAC ID: 1557753100 Enrollment ID: I20220112000454 |
| Provider Name | Matthew Slocum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326506973 PECOS PAC ID: 8022400696 Enrollment ID: I20220112001268 |
| Provider Name | Vivian Hoi-yan Chan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659003531 PECOS PAC ID: 2062893944 Enrollment ID: I20220725000457 |
| Provider Name | Daniel Andres Hernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578288122 PECOS PAC ID: 3678949351 Enrollment ID: I20221020002263 |
| Provider Name | Andre Conn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972227999 PECOS PAC ID: 9133598675 Enrollment ID: I20221206000788 |
| Provider Name | Tyler Stephen Schwecke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184323198 PECOS PAC ID: 5799159950 Enrollment ID: I20230330000663 |
| Provider Name | Michael Hwang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265218309 PECOS PAC ID: 2365896578 Enrollment ID: I20230921002385 |
| Provider Name | Robert Brovarnik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063281897 PECOS PAC ID: 7810340072 Enrollment ID: I20240124003283 |
| Provider Name | Armin Sheikh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194599050 PECOS PAC ID: 6709227820 Enrollment ID: I20240507002962 |
| Provider Name | Marina Bliss Chacon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396413019 PECOS PAC ID: 5092112755 Enrollment ID: I20240531001058 |
| Provider Name | Ghadi El Helou |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821829961 PECOS PAC ID: 2769922434 Enrollment ID: I20240909002435 |
| Provider Name | Lucas Lewandowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366275000 PECOS PAC ID: 8527508977 Enrollment ID: I20240911004172 |
| Provider Name | Mitch Thomas Neal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093549008 PECOS PAC ID: 8729510441 Enrollment ID: I20241018000576 |
| Provider Name | Desiree Tadwilliams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639978000 PECOS PAC ID: 2668995176 Enrollment ID: I20250325003565 |
| Provider Name | Daniel Berhe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780481853 PECOS PAC ID: 3173047644 Enrollment ID: I20250404003045 |
| Mailing Address | Practice Location Address |
|---|---|
| Sportsfit Physical Therapy Corporation 2010 Wilshire Blvd, Santa Monica, CA 90403-5608 Ph: (310) 878-2540 | Sportsfit Physical Therapy Corporation 2010 Wilshire Blvd, Santa Monica, CA 90403-5608 Ph: (310) 878-2540 |
Mr. Jared Spencer Vagy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 | |
Rebecca Marie Pitts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2010 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-878-2540 | |
Eleanor Bachman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 20th St Apt 4, Santa Monica, CA 90404 Phone: 917-755-8910 | |
Lori Jean Mccarty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Wilshire Blvd, Santa Monica, CA 90401 Phone: 310-656-8600 Fax: 310-656-8606 | |
Caitlin E Berry, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 | |
Michael Allan Andersen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 | |
Adrienne Telemaque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 |