Karissa Dawn Ly (NPI# 1477090181, PAC ID# 3072896182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1477090181 |
| PAC ID by PECOS | 3072896182 |
| Professional Enrollment ID | I20170216000332 |
| Full Name | Karissa Dawn Ly |
| Organization Legal Name | CUSTOM PT A PHYSICAL THERAPY CORP |
| Address |
22122 Sherman Way Suite 106 Canoga Park CA 91303-1135 |
| Phone Number | 8185926030 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4981632551 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 22122 Sherman Way, Suite 106, Canoga Park, CA 91303-1135 | 8185926030 | CUSTOM PT A PHYSICAL THERAPY CORP |
| 22122 Sherman Way, Canoga Park, CA 91303-1135 | 8185926030 | CUSTOM PT A PHYSICAL THERAPY CORP |
| 325 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1088 | 8054463141 | CUSTOM PT A PHYSICAL THERAPY CORP |
| 325 Rolling Oaks Dr, Thousand Oaks, CA 91361-1088 | 8054463141 | CUSTOM PT A PHYSICAL THERAPY CORP |
| Organization Legal Name | CUSTOM PT A PHYSICAL THERAPY CORP |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Ann Modera | Physical Therapy | Custom Pt A Physical Therapy Corp | 22122 Sherman Way, Suite 106, Canoga Park, CA 91303-1135 |
| Monica R Lesslie | Physical Therapy | Custom Pt A Physical Therapy Corp | 325 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1088 |
| Lisa D Weeks | Physical Therapy | Custom Pt A Physical Therapy Corp | 325 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1088 |
| Bieta Kia | Physical Therapy | Custom Pt A Physical Therapy Corp | 325 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1088 |
| Angela L Spruill | Physical Therapy | Custom Pt A Physical Therapy Corp | 325 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1088 |
| Carly A Soltman | Physical Therapy | Custom Pt A Physical Therapy Corp | 325 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1088 |
| Michael C Burns | Physical Therapy | Custom Pt A Physical Therapy Corp | 325 Rolling Oaks Dr, Thousand Oaks, CA 91361-1088 |
| Samuel R. Di Giovanni | Physical Therapy | Custom Pt A Physical Therapy Corp | 22122 Sherman Way, Suite 106, Canoga Park, CA 91303-1135 |
| Street Address |
22122 SHERMAN WAY SUITE 106 |
| City | CANOGA PARK |
| State | CA |
| Zip | 91303-1135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Ann Modera | Physical Therapy | Custom Pt A Physical Therapy Corp | 22122 Sherman Way, Suite 106, Canoga Park, CA 91303-1135 |
| Samuel R. Di Giovanni | Physical Therapy | Custom Pt A Physical Therapy Corp | 22122 Sherman Way, Suite 106, Canoga Park, CA 91303-1135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary U Schuerger | Physical Therapy | Comprehensive Therapeutics Inc | 22235 Sherman Way, Canoga Park, CA 91303-1058 |
| Erin Timothy Adams | Physical Therapy | Comprehensive Therapeutics Inc | 22235 Sherman Way, Canoga Park, CA 91303-1058 |
| Kenneth S Fine | Chiropractic | 22330 Sherman Way, Suite C2, Canoga Park, CA 91303-1065 | |
| Jeffrey A Dunbar | Physical Therapy | 22139 Sherman Way, Canoga Park, CA 91303-1137 | |
| Mary A Ditto | Oral Surgery | 7411 Topanga Canyon Blvd, Canoga Park, CA 91303-1211 | |
| Saurabh Jain | General Surgery | Saurabh Jain Md Inc | 7301 Topanga Canyon Blvd, Suite 330, Canoga Park, CA 91303-1357 |
| Massey Ahmadi | Nurse Practitioner | Saurabh Jain Md Inc | 7301 Topanga Canyon Blvd, Suite 330, Canoga Park, CA 91303-1357 |
| Alexander M Knipper | Nurse Practitioner | Saurabh Jain Md Inc | 7301 Topanga Canyon Blvd, Suite 330, Canoga Park, CA 91303-1357 |
| Kyung A Cho | Nurse Practitioner | Saurabh Jain Md Inc | 7301 Topanga Canyon Blvd, Suite 330, Canoga Park, CA 91303-1357 |
| Syrus Feridouni | Family Medicine | 20905 Sherman Way, Canoga Park, CA 91303-1743 | |
| Find all physicians in zip 91303 | |||
| City | CANOGA PARK |
| Zip Code | 91303 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CANOGA PARK + PHYSICAL THERAPY |
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| 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.