GABRIEL ENESCU (NPI# 1912104472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912104472 |
| Entity Type | Individual |
| Full Name | GABRIEL ENESCU |
| Credential | PT |
| Practice Address |
2000 W Kettleman Ln Lodi CA 95242-4334 |
| Practice Telephone | 9167162034 |
| Mailing Telephone | 9167162034 |
| Mailing Fax Number | 2093709095 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2014-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
34617 | CA | Allopathic & Osteopathic Physicians |
| N | 2251E1200X |
Physical Therapist Specialization: Ergonomics |
34617 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
34617 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251N0400X |
Physical Therapist Specialization: Neurology |
34617 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
34617 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
34617 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
34617 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2000 W KETTLEMAN LN |
| City | LODI |
| State | CA |
| Zip Code | 95242-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417023474 | James Raymond Wilson | Chiropractor | 2000 W Kettleman Ln, Suite 104, Lodi, CA 95242-4334 | 2006-11-28 |
| 1437553583 | Excel Rehab Physical Therapy Inc | Clinic/Center | 2000 W Kettleman Ln, 106, Lodi, CA 95242-4334 | 2014-10-17 |
| 1265642268 | Franklin Otto Bernhoft | Psychologist | 2000 W Kettleman Ln, Suite 103, Lodi, CA 95242-4334 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093342149 | Rachael Klimas | Physical Medicine & Rehabilitation | 225 Elyria St, Lodi, OH 44254-1031 | 2020-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578186 | Tracy Tran Physical Therapy | Physical Medicine & Rehabilitation | 5166 Eagle Rock Blvd, Los Angeles, CA 90041-1115 | 2020-08-16 |
| 1255969143 | Amber Renee Debarge | Physical Medicine & Rehabilitation | 2918 Havasupai Ave, San Diego, CA 92117-1641 | 2020-03-28 |
| 1932734969 | Jasmine Angelina Velasquez | Physical Medicine & Rehabilitation | 12017 Herbert St, Los Angeles, CA 90066-5201 | 2020-03-10 |
| 1275165979 | Coastal Regenerative Orthopedics & Wellness Center Inc. | Physical Medicine & Rehabilitation | 11772 Sorrento Valley Rd Ste 100, San Diego, CA 92121-1016 | 2020-02-10 |
| 1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
| 1841831864 | Olivia Carmen Smith | Physical Medicine & Rehabilitation | 2439 Country Club Dr, Glendora, CA 91741-4009 | 2019-10-01 |
| 1538719521 | Kyle Watry | Physical Medicine & Rehabilitation | 550 15th St Ste 36a, San Francisco, CA 94103-5032 | 2019-09-12 |
| 1023679826 | Adrianna Medina | Physical Medicine & Rehabilitation | 279 E Orlando Way, Covina, CA 91723-3016 | 2019-06-24 |
| 1316505563 | Restore The Machine - Physical Therapy Inc | Physical Medicine & Rehabilitation | 23332 Hawthorne Blvd Ste 202, Torrance, CA 90505-3767 | 2019-06-03 |
| 1881163889 | Gaylen Mcginn | Physical Medicine & Rehabilitation | 724 W Maple Ave Apt A, Orange, CA 92868-5022 | 2018-11-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.