Treca Tipton (NPI# 1215084496, PAC ID# 1557321262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1215084496 |
| PAC ID by PECOS | 1557321262 |
| Professional Enrollment ID | I20110207000108 |
| Full Name | Treca Tipton |
| Organization Legal Name | EDGE PHYSICAL THERAPY |
| Address |
1308 Monte Vista Ave Suite 1 Upland CA 91786-8224 |
| Phone Number | 9092042894 |
| Gender | F |
| Credential | PT |
| Graduation Year | 1975 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1254629736 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1308 Monte Vista Ave, Suite 1, Upland, CA 91786-8224 | 9092042894 | EDGE PHYSICAL THERAPY |
| 1308 Monte Vista Ave, Upland, CA 91786-8224 | 9092042894 | EDGE PHYSICAL THERAPY |
| Organization Legal Name | EDGE PHYSICAL THERAPY |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Cardeno | Physical Therapy | Edge Physical Therapy | 1599 Monte Vista Ave, Claremont, CA 91711-2961 |
| Joan-rae M Hermosura | Physical Therapy | Edge Physical Therapy | 1599 Monte Vista Ave, Claremont, CA 91711-2961 |
| Street Address |
1308 MONTE VISTA AVE SUITE 1 |
| City | UPLAND |
| State | CA |
| Zip | 91786-8224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny L Smith | Nurse Practitioner | Aung Thu Md Inc | 600 N 13th Ave, Suite 150, Upland, CA 91786-1900 |
| Khin T Htun | Family Medicine | Aung Thu Md Inc | 600 N 13th Ave, Suite 150, Upland, CA 91786-1900 |
| Raul Castillo | Chiropractic | 659 E 15th St, Suite D, Upland, CA 91786-2333 | |
| Louis Brenner | Family Medicine | 1113 Alta Ave, Suite 110, Upland, CA 91786-2803 | |
| Richard L Armour | Family Medicine | 1113 Alta Ave, Suite 102, Upland, CA 91786-2803 | |
| Susan Christine Biegel | Internal Medicine | 1113 Alta Ave, Suite 220, Upland, CA 91786-2803 | |
| Keith M Gross | Dermatology | Keith Mark Gross Md Inc | 1113 Alta Ave, Suite 200, Upland, CA 91786-2803 |
| Torhild E Kvarekvaal | Physical Therapy | Dynamic Performance Physical Therapy Inc | 2377 W Foothill Blvd, Suite 20, Upland, CA 91786-3584 |
| Ninfa P Weinzapfel | Physical Therapy | Dynamic Performance Physical Therapy Inc | 2377 W Foothill Blvd, Suite 20, Upland, CA 91786-3584 |
| Michael A Benavidez | Family Medicine | 984 W Foothill Blvd, Upland, CA 91786-3700 | |
| Find all physicians in zip 91786 | |||
| City | UPLAND |
| Zip Code | 91786 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | UPLAND + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Treca Tipton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.