Teresa Stanaback, OTR is a
Occupational Therapist - Physical Rehabilitation based in Dallas,, Texas. Teresa Stanaback is licensed to practice in Texas (license number 110025) and her current practice location is
9441 Lbj Freeway, Suite 602, Dallas,, Texas. She can be reached at her office (for appointments etc.) via phone at
(469) 249-1883.
NPI number for Teresa Stanaback is 1164899779 and her current mailing address is 10905 Ne 48th St, Kirkland, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164899779.
Healthcare Provider's Profile
| Full Name | Teresa Stanaback |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist - Physical Rehabilitation |
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| Location | 9441 Lbj Freeway, Dallas,, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164899779
- Provider Enumeration Date: 08/31/2015
- Last Update Date: 08/31/2015
Medical Identifiers
Medical identifiers for Teresa Stanaback such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164899779 | NPI | - | NPPES |
| 110025 | Other | TX | ECPTOTE |
| OT 60579322 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 110025 (Texas) | Primary |
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT60579322 (Washington) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teresa Stanaback is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Teresa Stanaback, OTR
10905 Ne 48th St,
Kirkland, WA 98033-7704
Ph: (409) 392-1105 | Teresa Stanaback, OTR
9441 Lbj Freeway, Suite 602,
Dallas,, TX 75243
Ph: (469) 249-1883 |
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