| Reform Physical Therapy, Inc. | |
|
264 N Highland Springs Ave Ste 5a Banning CA 92220-3083 | |
| (951) 769-0079 | |
| Not Available |
| Full Name | Reform Physical Therapy, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 264 N Highland Springs Ave Ste 5a, Banning, California |
| Authorized Official Name and Position | Robert Andrew Nelson (ADMINISTRATOR) |
| Authorized Official Contact | 9517690079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reform Physical Therapy, Inc. 264 N Highland Springs Ave Ste 4 Banning CA 92220-3082 Ph: (951) 769-0079 | Reform Physical Therapy, Inc. 264 N Highland Springs Ave Ste 5a Banning CA 92220-3083 Ph: (951) 769-0079 |
| NPI Number | 1992723803 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 1951358522 |
|---|---|
| Medicare Enrollment ID | O20050405001442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992723803 | NPI | - | NPPES |
| GR0068300 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (California) | Secondary |
| Provider Name | Frederick J Lloyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528053303 PECOS PAC ID: 2668472499 Enrollment ID: I20090520000380 |
| Provider Name | Patrick T Black |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326439159 PECOS PAC ID: 5395065379 Enrollment ID: I20150514000743 |
| Provider Name | Theodore Eugene Wyman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083926919 PECOS PAC ID: 0345559571 Enrollment ID: I20151028002831 |
New Millenium Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 Fax: 951-849-0080 | |
San Gorgonio Memorial Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave, Banning, CA 92220 Phone: 951-846-2877 Fax: 951-846-2876 | |
Jasleen Singh, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave Ste D, Banning, CA 92220 Phone: 833-443-6287 | |
First Americans Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12359 Malki Rd, Banning, CA 92220 Phone: 951-922-2058 Fax: 888-551-2116 | |
Morongo Indian Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11555 1/2 Potrero Rd, Banning, CA 92220 Phone: 951-849-4761 Fax: 951-849-5612 | |
Beaver Medical Group, Lp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 Fax: 909-796-4158 | |
Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1034 W Ramsey St # A, Banning, CA 92220 Phone: 951-849-2526 Fax: 951-849-9107 |