| Xcelerate Physical Therapy Inc. | |
|
3180 Willow Ln Ste 104, Thousand Oaks, CA 91361-4979 | |
| (805) 374-9900 | |
| Not Available |
| Full Name | Xcelerate Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3180 Willow Ln Ste 104, Thousand Oaks, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306814124 | NPI | - | NPPES |
| ZZZ082282 | Other | CA | BLUE SHIELD |
| 264440100 | Other | CA | DEPARTMENT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (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 | Carrie L Burgert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245319581 PECOS PAC ID: 0446204044 Enrollment ID: I20050307000538 |
| 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 | Crystal R Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861664377 PECOS PAC ID: 6204906001 Enrollment ID: I20080605000550 |
| Provider Name | Heidi M Duque |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184930026 PECOS PAC ID: 0446420160 Enrollment ID: I20110906000700 |
| Provider Name | Ryan Haddock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376936492 PECOS PAC ID: 4981923190 Enrollment ID: I20150508001274 |
| Provider Name | Karissa Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730544545 PECOS PAC ID: 8729386420 Enrollment ID: I20160413001368 |
| Mailing Address | Practice Location Address |
|---|---|
| Xcelerate Physical Therapy Inc. 3262 E Thousand Oaks Blvd Ste 100, Thousand Oaks, CA 91362-3443 Ph: () - | Xcelerate Physical Therapy Inc. 3180 Willow Ln Ste 104, Thousand Oaks, CA 91361-4979 Ph: (805) 374-9900 |
Andrea C Gutierrez, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Rolling Oaks Drive, Suite 210, Thousand Oaks, CA 91361 Phone: 805-446-3141 | |
Derik Khosrovian, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Lombard St, Thousand Oaks, CA 91360 Phone: 805-494-4145 | |
Challenge Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 911 Vivian Cir, Thousand Oaks, CA 91320 Phone: 805-777-7172 Fax: 805-499-7033 | |
Cara Rademaker, MPT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360 Phone: 805-777-1023 Fax: 805-777-3496 | |
Allison Meyer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 375 Rolling Oaks Dr Ste 210, Thousand Oaks, CA 91361 Phone: 805-497-7015 | |
Luc Fecteau, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Hodencamp Rd Ste 102, Thousand Oaks, CA 91360 Phone: 805-496-9944 Fax: 805-496-9945 | |
Dr. Edward Matthew Lind, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Rolling Oaks Dr Ste 250, Thousand Oaks, CA 91361 Phone: 805-230-1199 Fax: 805-230-1199 |