Casey Stephen Wallace (NPI# 1326550518, PAC ID# 6002177946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1326550518 |
| PAC ID by PECOS | 6002177946 |
| Professional Enrollment ID | I20180309001305 |
| Full Name | Casey Stephen Wallace |
| Organization Legal Name | CALIFORNIA REHAB AND SPORTS THERAPY |
| Address |
200 Newport Ctr Dr Suite 213 Newport Beach CA 92660-7503 |
| Phone Number | 9496441322 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6709788896 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5630 E Santa Ana Canyon Rd, Suite 150, Anaheim, CA 92807-3141 | 7142827701 | CALIFORNIA REHAB AND SPORTS THERAPY |
| 200 Newport Ctr Dr, Suite 213, Newport Beach, CA 92660-7503 | 9496441322 | CALIFORNIA REHAB AND SPORTS THERAPY |
| Organization Legal Name | CALIFORNIA REHAB AND SPORTS THERAPY |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Panna Patel | Occupational Therapy | California Rehab and Sports Therapy | 36 Mauchly A, Irvine, CA 92618-2390 |
| Saousan Mariam Ramadan | Physical Therapy | California Rehab and Sports Therapy | 1632 Puente Ave, Baldwin Park, CA 91706-5952 |
| Richard Yoon | Physical Therapy | California Rehab and Sports Therapy | 5630 E Santa Ana Canyon Rd, Suite 150, Anaheim, CA 92807-3141 |
| Scott B Crutchfield | Physical Therapy | California Rehab and Sports Therapy | 471 W Lambert Rd, Suite 106, Brea, CA 92821-3921 |
| Amy Monica Bu | Occupational Therapy | California Rehab and Sports Therapy | 12555 Lakewood Blvd, Suite D, Downey, CA 90242-2771 |
| Marissa Schubert | Physical Therapy | California Rehab and Sports Therapy | 2101 E 4 St, Suite 170, Santa Ana, CA 92705-3886 |
| Silverton Le Nguyen | Physical Therapy | California Rehab and Sports Therapy | 6930 Warner Ave, Huntington Beach, CA 92647-5316 |
| Ronald Satow | Physical Therapy | California Rehab and Sports Therapy | 19000 Hawthorne Blvd, Suite 300, Torrance, CA 90503-1517 |
| Jeremy K Simmons | Physical Therapy | California Rehab and Sports Therapy | 505 N Euclid St, Suite 680, Anaheim, CA 92801-5509 |
| Jennifer M Greene | Physical Therapy | California Rehab and Sports Therapy | 505 N Euclid St, Suite 680, Anaheim, CA 92801-5509 |
| Street Address |
200 NEWPORT CTR DR SUITE 213 |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92660-7503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Brown | Optometry | 200 Newport Ctr Dr, Suite 312, Newport Beach, CA 92660-7504 | |
| Nicole C Reaves | Occupational Therapy | California Rehab and Sports Therapy | 200 Newport Ctr Dr, Suite 213, Newport Beach, CA 92660-7503 |
| Sharron Williams | Psychologist, Clinical | 200 Newport Ctr Dr, Suite 303, Newport Beach, CA 92660-7504 | |
| Rosalyn M Laudati | Psychologist, Clinical | 200 Newport Ctr Dr, Suite 300, Newport Beach, CA 92660-7504 | |
| Mehry R Lundquist | Psychologist, Clinical | 200 Newport Ctr Dr, Suite 305, Newport Beach, CA 92660-7504 | |
| Timothy Ot Hornak | Occupational Therapy | California Rehab and Sports Therapy | 200 Newport Ctr Dr, Suite 213, Newport Beach, CA 92660-7503 |
| Brandon A Mckinney | Physical Therapy | California Rehab and Sports Therapy | 200 Newport Ctr Dr, Suite 213, Newport Beach, CA 92660-7503 |
| Henry Cheong | Physical Therapy | California Rehab and Sports Therapy | 200 Newport Ctr Dr, Suite 213, Newport Beach, CA 92660-7503 |
| Robert B Lesueur | Physical Therapy | California Rehab and Sports Therapy | 200 Newport Ctr Dr, Suite 213, Newport Beach, CA 92660-7503 |
| Joanna Baum | Physical Therapy | California Rehab and Sports Therapy | 200 Newport Ctr Dr, Suite 213, Newport Beach, CA 92660-7503 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nirav B Savalia | Plastic and Reconstructive Surgery | 180 Newport Ctr Dr, Suite 170, Newport Beach, CA 92660 | |
| Joannie D Sun | Dermatology | Dermatology Associates of Orange County, Inc | 230 Newport Ctr Dr, 200 Advanced Dermatology of Orange, Newport Beach, CA 92660 |
| Rumana Mansur | Psychologist, Clinical | 180 Newport Ctr Dr, Suite 270d, Newport Beach, CA 92660 | |
| B B Rahavi | Rheumatology | 400 Newport Ctr Dr, 602a, Newport Beach, CA 92660 | |
| Thomas A Hendrickx | Physical Therapy | 2290 Se Bristol St, Suite 104, Newport Beach, CA 92660-0746 | |
| Lawson Victor Sealey | Chiropractic | 20151 Sw Birch St, Suite 200, Newport Beach, CA 92660-0776 | |
| Estera Han | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 20162 Sw Birch St, Suite 260, Newport Beach, CA 92660-0787 |
| Parth P Patel | Physical Therapy | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Alejandro Gonzalez | Internal Medicine | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Bettina T Limjoco | Physical Medicine and Rehabilitation | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0795 | |
| Find all physicians in zip 92660 | |||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | NEWPORT BEACH + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Casey Stephen Wallace.
| 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.