Kassandra Didi Chrisco (NPI# 1629516554, PAC ID# 2466737879) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1629516554 |
| PAC ID by PECOS | 2466737879 |
| Professional Enrollment ID | I20170328000708 |
| Full Name | Kassandra Didi Chrisco |
| Organization Legal Name | FUNCTION FOR LIFE PHYSICAL THERAPY INC |
| Address |
4635 Mission Gorge Pl Suite B San Diego CA 92120-4145 |
| Phone Number | 6195019037 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3678758489 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 | 6195019037 | FUNCTION FOR LIFE PHYSICAL THERAPY INC |
| Organization Legal Name | FUNCTION FOR LIFE PHYSICAL THERAPY INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey D Thompson | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Cheng Hao Joseph Chen | Physical Therapy | Function for Life Physical Therapy Inc | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Andrew Joseph Pavlov | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Kristen May Lopez | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Meghan Zwahlen | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Ross Montgomery Edmunds | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Megan D Waller | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Casey Waller | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Brett Bloom | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Tanner J Crass | Physical Therapy | Function for Life Physical Therapy Inc | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Street Address |
4635 MISSION GORGE PL SUITE B |
| City | SAN DIEGO |
| State | CA |
| Zip | 92120-4145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheng Hao Joseph Chen | Physical Therapy | Function for Life Physical Therapy Inc | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Tanner J Crass | Physical Therapy | Function for Life Physical Therapy Inc | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Kaylee T. Dang | Physical Therapy | Function for Life Physical Therapy Inc | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Kenneth Alan Langworthy | Physical Therapy | Function for Life Physical Therapy Inc | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Jeffrey S Nelson | Physical Therapy | Function for Life Physical Therapy Inc | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Frank K Veltri | Physical Therapy | Function for Life Physical Therapy Inc | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Matt Earl Fuller | Physical Therapy | Function for Life Physical Therapy, Inc. | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Lea Lynn Thomann | Physical Therapy | Function for Life Physical Therapy, Inc. | 4635 Mission Gorge Pl, San Diego, CA 92120-4145 |
| Alison Rachel Litvak | Physical Therapy | Function for Life Physical Therapy, Inc. | 4635 Mission Gorge Pl, San Diego, CA 92120-4145 |
| Ryan O'connor | Physical Therapy | Function for Life Physical Therapy, Inc. | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara J Perry | Clinical Social Worker | 615 E Lexington Ave, El Cajon, CA 92120-0000 | |
| Andrea B Dorris | Chiropractic | 10330 Friars Rd, San Diego, CA 92120-2300 | |
| Marc Lewis | Chiropractic | 6612 Mission Gorge Rd, Suite B, San Diego, CA 92120-2346 | |
| Ann Pena | Obstetrics/gynecology | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Shweta Ramsahai | Internal Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Matthew J Roosevelt | Internal Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Brenda J Swiderski | Optometry | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| David M Levine | Internal Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Dale K Lieu | Internal Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Rachel M Toman | Nurse Practitioner | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Find all physicians in zip 92120 | |||
| City | SAN DIEGO |
| Zip Code | 92120 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SAN DIEGO + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kassandra Didi Chrisco.
| 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.