Ely Pastoral, PT
Physical Therapist · Anaheim
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Ely Pastoral’s office at (646) 247-9699 to ask if they take your plan before you enroll.
California Medical Board record
Licence C35994 · Cancelled
Licence status: Cancelled · since 1974 · Indiana University School of Medicine.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
State licence records
1 licence
- Illinois 070014826Licensed Physical Therapist · since 2006 · expires 2018-09-30InactiveNo board action on this licenceCheck it with the state
We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.
Professional record
- NPI
- 1104350321
- Licence
- CA 35994, IL 070014826California C35994: CancelledIllinois 070014826: Inactive
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 361 N Bellarose Way, Anaheim, CA, 92805
- NPI first listed
- 2017-04-13
- NPI last updated
- 2017-04-13
This is when the NPI record was last certified, not a medical board exam.