Melissa M Forncrook (NPI# 1790769198, PAC ID# 3476564550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1790769198 |
| PAC ID by PECOS | 3476564550 |
| Professional Enrollment ID | I20060606000273 |
| Full Name | Melissa M Forncrook |
| Organization Legal Name | CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS, INC. |
| Address |
5910 Pacific Ave Stockton CA 95207-4704 |
| Phone Number | 2094751000 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 7618956889 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 5910 Pacific Ave, Stockton, CA 95207-4704 | 2094751000 | CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS, INC. |
| Organization Legal Name | CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS, INC. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Elisabeth Serra | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 5910 Pacific Ave, Stockton, CA 95207-4704 |
| Ray John A Mago | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 2230 Gladstone Dr, Pittsburg, CA 94565-5102 |
| Anna Dabrowski | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 2000 Garden Rd, Monterey, CA 93940-5313 |
| Michael J Koury | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 20211 Patio Dr, Suite 205, Castro Valley, CA 94546-4338 |
| Karl Stutelberg | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 1306 W Ave J, Suite 2, Lancaster, CA 93534-2936 |
| Franklin Dill | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 350 Bollinger Canyon Ln, Suite A, San Ramon, CA 94582-4592 |
| Rebecca Turner | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 5910 Pacific Ave, Stockton, CA 95207-4704 |
| Tina Beck | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 20211 Patio Dr, Suite 205, Castro Valley, CA 94546-4338 |
| Sara Nicole Mikesell | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 20211 Patio Dr, Suite 205, Castro Valley, CA 94546-4338 |
| Dennis J Ingram | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 20211 Patio Dr, Castro Valley, CA 94546-4338 |
| Street Address |
5910 PACIFIC AVE |
| City | STOCKTON |
| State | CA |
| Zip | 95207-4704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Elisabeth Serra | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 5910 Pacific Ave, Stockton, CA 95207-4704 |
| Rebecca Turner | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 5910 Pacific Ave, Stockton, CA 95207-4704 |
| Michael J Serra | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 5910 Pacific Ave, Stockton, CA 95207-4704 |
| Susan M Arismendi | Occupational Therapy | California Sports Physical Therapy Centers, Inc. | 5910 Pacific Ave, Stockton, CA 95207-4704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sou Her | Family Medicine | 75 W March Lane J, Stockton, CA 95207 | |
| Edward C Greenleaf | Radiation Oncology | 2027 Grand Canal, Suite 25, Stockton, CA 95207 | |
| James H Holmes Jr. | Family Practice | 1502 St Mark's Plaza, Suite 5, Stockton, CA 95207 | |
| Chinh Nguyen | Optometry | 83 W March Lane, Suite 4, Stockton, CA 95207 | |
| Charles Kim | Ophthalmology | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Philip A Edington | Ophthalmology | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Majid Roubach | Ophthalmology | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Daniel Wee | Ophthalmology | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Angela P Maharaj | Optometry | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Christine Sager | Optometry | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Find all physicians in zip 95207 | |||
| City | STOCKTON |
| Zip Code | 95207 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | STOCKTON + OCCUPATIONAL 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.