| Pacific Therapy Services, Inc | |
|
5550 Telegraph Rd, Suite A, Ventura, CA 93003-4254 | |
| (805) 850-0525 | |
| (805) 850-0526 |
| Full Name | Pacific Therapy Services, Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 5550 Telegraph Rd, Ventura, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770665630 | NPI | - | NPPES |
| CB233265 | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | AT5146 (California) | Primary |
| Provider Name | Melinda A Crisostomo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851361513 PECOS PAC ID: 8921328873 Enrollment ID: I20150518001305 |
| Provider Name | Paul J Feuerborn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417928425 PECOS PAC ID: 8123283306 Enrollment ID: I20150617002497 |
| Provider Name | Paul L Eddy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184695454 PECOS PAC ID: 9032374210 Enrollment ID: I20150619002259 |
| Provider Name | Staci S Holloway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467687624 PECOS PAC ID: 1456662071 Enrollment ID: I20150623001125 |
| Provider Name | Jan C Key |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710056767 PECOS PAC ID: 2365730173 Enrollment ID: I20161011002370 |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Therapy Services, Inc 5550 Telegraph Rd, Suite A, Ventura, CA 93003-4254 Ph: (805) 850-0525 | Pacific Therapy Services, Inc 5550 Telegraph Rd, Suite A, Ventura, CA 93003-4254 Ph: (805) 850-0525 |