| Physical Therapy & Rehabilitation Services, Pc | |
|
1610 Arden Way Ste 195 Sacramento CA 95815-4035 | |
| (916) 649-1379 | |
| (916) 649-1705 |
| Full Name | Physical Therapy & Rehabilitation Services, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1610 Arden Way Ste 195, Sacramento, California |
| Authorized Official Name and Position | Timothy Whobrey (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5026307249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy & Rehabilitation Services, Pc 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: (502) 394-2100 | Physical Therapy & Rehabilitation Services, Pc 1610 Arden Way Ste 195 Sacramento CA 95815-4035 Ph: (916) 649-1379 |
| NPI Number | 1952882243 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 08/31/2020 |
| Medicare PECOS PAC ID | 2668723677 |
|---|---|
| Medicare Enrollment ID | O20181001001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952882243 | NPI | - | NPPES |
| Provider Name | Kevin C Lindblom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548566474 PECOS PAC ID: 0244416287 Enrollment ID: I20110509000819 |
| Provider Name | Claire Smiley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487030672 PECOS PAC ID: 1355650250 Enrollment ID: I20151015001182 |
| Provider Name | Justine Diaz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710418330 PECOS PAC ID: 6608136452 Enrollment ID: I20180216000346 |
| Provider Name | Vhernna Fernandez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225677107 PECOS PAC ID: 0749616845 Enrollment ID: I20200210001189 |
| Provider Name | Lindsey Marie Hoover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245718899 PECOS PAC ID: 1355778127 Enrollment ID: I20200218001081 |
| Provider Name | Sonnen R Olson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073150694 PECOS PAC ID: 0547689838 Enrollment ID: I20201006002978 |
| Provider Name | Sonnen R Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073150694 PECOS PAC ID: 0547689838 Enrollment ID: I20201021003006 |
| Provider Name | Jolie Law |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659951226 PECOS PAC ID: 9436567781 Enrollment ID: I20210426002387 |
| Provider Name | Sonam Sharma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417690124 PECOS PAC ID: 7416338355 Enrollment ID: I20220722002370 |
| Provider Name | Kalynn Rashell Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871239012 PECOS PAC ID: 2264815927 Enrollment ID: I20220815000125 |
| Provider Name | Kiara Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073237327 PECOS PAC ID: 7315314002 Enrollment ID: I20221109002570 |
| Provider Name | Rebecca Elizabeth Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619674553 PECOS PAC ID: 4183097959 Enrollment ID: I20230224002012 |
| Provider Name | Edward J Sevilla |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063111813 PECOS PAC ID: 9335514520 Enrollment ID: I20230330002046 |
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