MEDICARE: CORINNA VAN NESS P.T.

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	225100000X	Physical Therapist	27542	CA

General Provider Information

NPI Number	:	1073615613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORINNA VAN NESS P.T.

Provider Business Mailing Address
First Line	:	3341 VILLAGE DR
Second Line	:
City	:	IONE
State	:	CA
Zip	:	95640-9603
Country	:	US
Telephone Number	:	209-274-4649
Fax Number	:

Provider Business Practice Location Address
First Line	:	1906 VISTA DEL LAGO DR STE A
Second Line	:
City	:	VALLEY SPRINGS
State	:	CA
Zip	:	95252-9700
Country	:	US
Telephone Number	:	209-584-1007
Fax Number	:

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

Provider Enumeration Date	:	09/03/2006
Last Update Date	:	11/08/2020

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1720416035 — KYLE BERTRAND ROOTSAERT
Practice Location Address:

1906 VISTA DEL LAGO DR STE G
VALLEY SPRINGS, CA
95252-9700

Practice Phone: 209-920-3299
Practice Fax:

1649677741 — BRIAN EUGENE COBB RPH
Practice Location Address:

1906 VISTA DEL LAGO DR , SUITE G.
VALLEY SPRINGS, CA
95252-9700

Practice Phone: 209-980-3299
Practice Fax: 209-920-3391

1316450174 — MR. JOSIAH LOZANO PT,DPT
Practice Location Address:

1906 VISTA DEL LAGO DR STE A
VALLEY SPRINGS, CA
95252-9700

Practice Phone: 209-584-1007
Practice Fax:

1730888405 — KAITLIN JENSEN DPT
Practice Location Address:

1906 VISTA DEL LAGO DR STE A
VALLEY SPRINGS, CA
95252-9700

Practice Phone: 209-780-3985
Practice Fax: 209-222-6182

1649091109 — M A C T HEALTH BOARD INCORPORATED
Practice Location Address:

1906 VISTA DEL LAGO DR STE K
VALLEY SPRINGS, CA
95252-9700

Practice Phone: 209-755-1490
Practice Fax: 209-459-4054

Directions to “ CORINNA VAN NESS P.T.” 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.