| In-home Physical Therapy PC | |
|
533 2nd St # 341 Encinitas CA 92024-3558 | |
| (760) 271-3850 | |
| (888) 773-3272 |
| Full Name | In-home Physical Therapy PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 533 2nd St # 341, Encinitas, California |
| Authorized Official Name and Position | James a Prussack (PRESIDENT, OWNER) |
| Authorized Official Contact | 7602713850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In-home Physical Therapy PC 533 2nd St # 341 Encinitas CA 92024-3558 Ph: (760) 271-3850 | In-home Physical Therapy PC 533 2nd St # 341 Encinitas CA 92024-3558 Ph: (760) 271-3850 |
| NPI Number | 1588800874 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 07/15/2020 |
| Certification Date | 07/15/2020 |
| Medicare PECOS PAC ID | 7315096831 |
|---|---|
| Medicare Enrollment ID | O20090512000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588800874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (California) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | () | Secondary |
| Provider Name | Margaret M Zidek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548281256 PECOS PAC ID: 1658261771 Enrollment ID: I20040319001044 |
| Provider Name | James Prussack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942244876 PECOS PAC ID: 1850308768 Enrollment ID: I20060317000542 |
| Provider Name | Martin Andrade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336212935 PECOS PAC ID: 3274630686 Enrollment ID: I20070519000118 |
| Provider Name | Nicole Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700051307 PECOS PAC ID: 7416015656 Enrollment ID: I20081017000009 |
| Provider Name | Deborah Struiksma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760622773 PECOS PAC ID: 9436204112 Enrollment ID: I20090901000588 |
| Provider Name | Wendy D Retzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780982652 PECOS PAC ID: 1850574856 Enrollment ID: I20110329000829 |
| Provider Name | Jaleh M Lawlor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801064936 PECOS PAC ID: 4587713359 Enrollment ID: I20110923000054 |
| Provider Name | Kimberly J Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992877930 PECOS PAC ID: 7214993070 Enrollment ID: I20130614000105 |
| Provider Name | Michelle E Miles-kessel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265756019 PECOS PAC ID: 9436386232 Enrollment ID: I20131227000794 |
| Provider Name | Adina Verrett Myles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467779041 PECOS PAC ID: 8325262124 Enrollment ID: I20140618000666 |
| Provider Name | Janev Alicia Alvarez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780082081 PECOS PAC ID: 6002121639 Enrollment ID: I20150811006125 |
| Provider Name | Eric M Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538535943 PECOS PAC ID: 3274833892 Enrollment ID: I20151203000211 |
| Provider Name | Carri M Dominick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225106321 PECOS PAC ID: 0547335580 Enrollment ID: I20170330002554 |
| Provider Name | Jennifer Fuller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265668446 PECOS PAC ID: 3274849310 Enrollment ID: I20200428001142 |
| Provider Name | Jennifer Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336256718 PECOS PAC ID: 9638489479 Enrollment ID: I20220128000116 |
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