MEDICARE: MRS. NICOLE JENNIFER REA MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	PT27082	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT27082	OTHER	CA	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1013941046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NICOLE JENNIFER REA MPT

Provider Business Mailing Address
First Line	:	1187 COAST VILLAGE RD
Second Line	:	STE 8
City	:	MONTECITO
State	:	CA
Zip	:	93108-2762
Country	:	US
Telephone Number	:	805-565-5670
Fax Number	:	805-565-5690

Provider Business Practice Location Address
First Line	:	1187 COAST VILLAGE RD
Second Line	:	STE 8
City	:	MONTECITO
State	:	CA
Zip	:	93108-2762
Country	:	US
Telephone Number	:	805-565-5670
Fax Number	:	805-565-5690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	02/11/2022

Similar Medicare Providers

1346485497 — MRS. MARISSA RUTH MEUCCI M.S.P.T.
Practice Location Address:

1187 COAST VILLAGE RD STE 8
SANTA BARBARA, CA
93108-2762

Practice Phone: 805-565-5670
Practice Fax: 805-565-5690

1174519425 — BABJI P MESIPAM MD
Practice Location Address:

1478 E VALLEY RD , #40
MONTECITO, CA
93108-1241

Practice Phone: 805-969-2166
Practice Fax: 805-565-2046

1356379283 — DR. ARISTIDES CHARLES AVGERIS MD
Practice Location Address:

1187 COAST VILLAGE RD STE 10A
MONTECITO, CA
93108-2764

Practice Phone: 805-565-0020
Practice Fax:

1073542098 — VONS COMPANIES INC
Practice Location Address:

1046 COAST VILLAGE RD , SUITE B
MONTECITO, CA
93108-2732

Practice Phone: 805-969-4728
Practice Fax: 805-969-2069

1902916059 — DR. SUSAN ALLISON MAYER-OAKES M.D.
Practice Location Address:

1187 COAST VILLAGE RD STE 10A
MONTECITO, CA
93108-2764

Practice Phone: 805-565-0020
Practice Fax: 805-682-0617

1619040086 — CRISTAL CHAVEZ
Practice Location Address:

102 HIXON RD
MONTECITO, CA
93108-2617

Practice Phone: 805-969-7787
Practice Fax:

Directions to “ MRS. NICOLE JENNIFER REA MPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.