| Healthpro Heritage Rehab & Fitness, Llc | |
|
359 Village Commons Blvd, Georgetown, TX 78633-4448 | |
| (512) 277-6405 | |
| (512) 277-6406 |
| Full Name | Healthpro Heritage Rehab & Fitness, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 359 Village Commons Blvd, Georgetown, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952531154 | NPI | - | NPPES |
| Provider Name | Jennifer K Mcbrayer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790100808 PECOS PAC ID: 9032183439 Enrollment ID: I20040825001608 |
| Provider Name | Arturo Del Pilar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790865590 PECOS PAC ID: 8224067244 Enrollment ID: I20050811000792 |
| Provider Name | Sejal S Soni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629164264 PECOS PAC ID: 4284668526 Enrollment ID: I20050926000451 |
| Provider Name | Cheray I Haverland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104025840 PECOS PAC ID: 2567488869 Enrollment ID: I20051017000353 |
| Provider Name | Amber I Koustoumbardis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346693637 PECOS PAC ID: 0446278154 Enrollment ID: I20051110000375 |
| Provider Name | Nico G Halter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427096049 PECOS PAC ID: 7911900105 Enrollment ID: I20060808000296 |
| Provider Name | Gwen Lynn E Garrido |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538257381 PECOS PAC ID: 0840292330 Enrollment ID: I20070213000427 |
| Provider Name | Tracey Scherer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922246123 PECOS PAC ID: 3375600083 Enrollment ID: I20090325000285 |
| Provider Name | Mark Brennan Russo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669784419 PECOS PAC ID: 8729276985 Enrollment ID: I20110103000907 |
| Provider Name | Arpitaben M Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881965721 PECOS PAC ID: 3678736428 Enrollment ID: I20120515000523 |
| Provider Name | Kelley J Alkek |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295066538 PECOS PAC ID: 4082860366 Enrollment ID: I20120802000563 |
| Provider Name | Anita M Oehmke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942553961 PECOS PAC ID: 5395998496 Enrollment ID: I20130123000041 |
| Provider Name | Ashley Dawn Bishop |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558793836 PECOS PAC ID: 9830326412 Enrollment ID: I20131206000733 |
| Provider Name | Joel A Grace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376834044 PECOS PAC ID: 5092944322 Enrollment ID: I20140210000304 |
| Provider Name | Maria T Abelar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215367479 PECOS PAC ID: 8820220783 Enrollment ID: I20140409000433 |
| Provider Name | Antony N Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407016397 PECOS PAC ID: 7719110444 Enrollment ID: I20140505001937 |
| Provider Name | Adeola Alade Daniyan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184059115 PECOS PAC ID: 0042533770 Enrollment ID: I20150102001186 |
| Provider Name | Bridget Raymond |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215329404 PECOS PAC ID: 0244559326 Enrollment ID: I20150512002312 |
| Provider Name | Swapna A Gandre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104824713 PECOS PAC ID: 5799006268 Enrollment ID: I20150609001986 |
| Provider Name | Constance L Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629453519 PECOS PAC ID: 0840507430 Enrollment ID: I20150915000881 |
| Provider Name | Rico Andres Buentello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750757787 PECOS PAC ID: 8325357700 Enrollment ID: I20151026002503 |
| Provider Name | Ellanie J Berba |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295941102 PECOS PAC ID: 9335459676 Enrollment ID: I20151117001014 |
| Provider Name | Anne Mansfield |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932349875 PECOS PAC ID: 0547561581 Enrollment ID: I20151217000762 |
| Provider Name | Mary Ann I Maneja |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053781831 PECOS PAC ID: 3870895675 Enrollment ID: I20160112000092 |
| Provider Name | Kelly Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497724538 PECOS PAC ID: 7113223306 Enrollment ID: I20160315000894 |
| Provider Name | Stephanie A Calabrese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386031771 PECOS PAC ID: 6406146802 Enrollment ID: I20160525003147 |
| Provider Name | Younmyung Kang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801345491 PECOS PAC ID: 4082999073 Enrollment ID: I20170313001645 |
| Provider Name | Patricia C Garcia-castro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871852665 PECOS PAC ID: 9335426360 Enrollment ID: I20170501001036 |
| Provider Name | Cynthia L Barfield |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801321096 PECOS PAC ID: 2860779196 Enrollment ID: I20170515001336 |
| Provider Name | Stephen B Bigham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972728392 PECOS PAC ID: 9032477724 Enrollment ID: I20180102000661 |
| Provider Name | Damon W Meekins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063925204 PECOS PAC ID: 6507125341 Enrollment ID: I20180124000604 |
| Provider Name | Paige M Pabor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346757408 PECOS PAC ID: 2163782558 Enrollment ID: I20180202001237 |
| Provider Name | Lauren L Broadbent |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932623626 PECOS PAC ID: 8628338563 Enrollment ID: I20180214000611 |
| Provider Name | Jonna D Stephenson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932607173 PECOS PAC ID: 6507126448 Enrollment ID: I20180214000777 |
| Provider Name | Erinn Oconnor-stover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568719946 PECOS PAC ID: 7719249648 Enrollment ID: I20180313000594 |
| Provider Name | Amy B Dixon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083843247 PECOS PAC ID: 6608920350 Enrollment ID: I20180508002316 |
| Provider Name | Eugene Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932696721 PECOS PAC ID: 3072877497 Enrollment ID: I20180510000476 |
| Provider Name | Julie Danielle Schulthies |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245664671 PECOS PAC ID: 2163787953 Enrollment ID: I20180529000181 |
| Provider Name | John Charles Jentsch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033602693 PECOS PAC ID: 9335494756 Enrollment ID: I20180626000842 |
| Provider Name | Elsa T Marotta-frausto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962672808 PECOS PAC ID: 4385990340 Enrollment ID: I20180705000272 |
| Provider Name | James Speer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053619635 PECOS PAC ID: 6709132244 Enrollment ID: I20180713000097 |
| Provider Name | Kalisa J Dorse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760887350 PECOS PAC ID: 5991055949 Enrollment ID: I20180912002050 |
| Provider Name | Holly Marin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891942140 PECOS PAC ID: 8224379326 Enrollment ID: I20190417001456 |
| Provider Name | Monica Kaye Ortlieb Smothers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114271608 PECOS PAC ID: 0042552077 Enrollment ID: I20190423002447 |
| Provider Name | Trevor Robert Conant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134628134 PECOS PAC ID: 3870836729 Enrollment ID: I20190517000039 |
| Provider Name | Chrissy M Andrews |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639605793 PECOS PAC ID: 2466786827 Enrollment ID: I20190619001533 |
| Provider Name | Margaret Mahaney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720640675 PECOS PAC ID: 3577890789 Enrollment ID: I20190812000903 |
| Provider Name | Omar Lirio Linzag |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518908425 PECOS PAC ID: 0547250144 Enrollment ID: I20190812002046 |
| Provider Name | Jazib Arshad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033690029 PECOS PAC ID: 4486982774 Enrollment ID: I20190823002981 |
| Provider Name | Leigh Ann Chiari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669666434 PECOS PAC ID: 5698004810 Enrollment ID: I20190912001176 |
| Provider Name | Sara Mireles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992366157 PECOS PAC ID: 6406185685 Enrollment ID: I20190913000134 |
| Provider Name | Ronette Howard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629591516 PECOS PAC ID: 7315276433 Enrollment ID: I20190913002378 |
| Provider Name | Kelley H Frick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427468412 PECOS PAC ID: 0143550137 Enrollment ID: I20190917003326 |
| Provider Name | Daniel Lin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790159200 PECOS PAC ID: 9032429808 Enrollment ID: I20190917003784 |
| Provider Name | Dalene Marie Killian |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689992257 PECOS PAC ID: 0143550756 Enrollment ID: I20190925000842 |
| Provider Name | Elizabeth Chase |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720309867 PECOS PAC ID: 6002146370 Enrollment ID: I20190930001725 |
| Provider Name | Cody Ryan Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730749722 PECOS PAC ID: 2860722063 Enrollment ID: I20191002000783 |
| Provider Name | Garrett Stacy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205392537 PECOS PAC ID: 4880925387 Enrollment ID: I20191015001879 |
| Provider Name | Linda Ann Mullenix |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861034985 PECOS PAC ID: 4284066374 Enrollment ID: I20191111001944 |
| Provider Name | Derar M Mahmoud |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912170770 PECOS PAC ID: 3072698935 Enrollment ID: I20191206000401 |
| Provider Name | Nicole Jenkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265077986 PECOS PAC ID: 9335572130 Enrollment ID: I20191210000638 |
| Provider Name | Monica Rose Versie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821409897 PECOS PAC ID: 3476986092 Enrollment ID: I20191211002908 |
| Provider Name | Marianne Torio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093295321 PECOS PAC ID: 7911330568 Enrollment ID: I20191212000525 |
| Provider Name | Neha Goregaonkar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245502491 PECOS PAC ID: 7517391030 Enrollment ID: I20191216002410 |
| Provider Name | Brittany Brooks |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760872782 PECOS PAC ID: 8224462767 Enrollment ID: I20191217000312 |
| Provider Name | Bettina Bourda |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801117270 PECOS PAC ID: 3779854641 Enrollment ID: I20200114001344 |
| Provider Name | Elsa M Tran |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841786985 PECOS PAC ID: 0345675336 Enrollment ID: I20200122000725 |
| Provider Name | Elysia D Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033415039 PECOS PAC ID: 1254766124 Enrollment ID: I20200123000253 |
| Provider Name | Salvacion Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699987792 PECOS PAC ID: 1355777855 Enrollment ID: I20200131000942 |
| Provider Name | Daniel Carrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144611385 PECOS PAC ID: 4789010638 Enrollment ID: I20200212002151 |
| Provider Name | Cathy Taylor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790267383 PECOS PAC ID: 2466889670 Enrollment ID: I20200228001269 |
| Provider Name | Katherine Ellis Bretherton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407080328 PECOS PAC ID: 1759718851 Enrollment ID: I20200303000181 |
| Provider Name | James W Snyder |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215213343 PECOS PAC ID: 3678901634 Enrollment ID: I20200325002009 |
| Provider Name | Kenneth Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285166256 PECOS PAC ID: 4082042064 Enrollment ID: I20200325003339 |
| Provider Name | Mai Khanh Siegrist |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225676687 PECOS PAC ID: 1557790391 Enrollment ID: I20200331000755 |
| Provider Name | Sherrie M Barton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235767179 PECOS PAC ID: 4688004666 Enrollment ID: I20200414003018 |
| Provider Name | Tess Eileen Lancaster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164083820 PECOS PAC ID: 9133559750 Enrollment ID: I20200423000183 |
| Provider Name | Amy Ellis Naugher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093012411 PECOS PAC ID: 3971858119 Enrollment ID: I20200514000285 |
| Provider Name | Aarti Gajjar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255797932 PECOS PAC ID: 6901109347 Enrollment ID: I20200522001035 |
| Provider Name | Sydney A Seiter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649752064 PECOS PAC ID: 1254754047 Enrollment ID: I20200713002236 |
| Provider Name | Soina Sandhu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316556889 PECOS PAC ID: 3173949286 Enrollment ID: I20200820000703 |
| Provider Name | Annalicia Torres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184238404 PECOS PAC ID: 1456779438 Enrollment ID: I20200909000519 |
| Provider Name | Genevieve Potato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235619677 PECOS PAC ID: 4183042062 Enrollment ID: I20200909000922 |
| Provider Name | Collins Awosika |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215541511 PECOS PAC ID: 2961820303 Enrollment ID: I20200916001573 |
| Provider Name | Trecia Kaye Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861904468 PECOS PAC ID: 3779901053 Enrollment ID: I20200918000434 |
| Provider Name | Trashunda Yevette Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841702099 PECOS PAC ID: 9537589452 Enrollment ID: I20201015000177 |
| Provider Name | Deltrice J Daniel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821578055 PECOS PAC ID: 1456771005 Enrollment ID: I20201020001541 |
| Provider Name | Carol Devera Guillory |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356966980 PECOS PAC ID: 7012327513 Enrollment ID: I20201112002056 |
| Provider Name | Jeleeka A Marsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588020176 PECOS PAC ID: 9638581192 Enrollment ID: I20201208000722 |
| Provider Name | Mary A Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700489440 PECOS PAC ID: 0042622219 Enrollment ID: I20201211000482 |
| Provider Name | Lawrence J Lurrie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275867699 PECOS PAC ID: 9537571245 Enrollment ID: I20201221001968 |
| Provider Name | Tracy Ot Tang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033764873 PECOS PAC ID: 5991118150 Enrollment ID: I20210106002898 |
| Provider Name | Raymond Bryan Ruwaldt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003413592 PECOS PAC ID: 0143635433 Enrollment ID: I20210218002470 |
| Provider Name | Marissa Fisher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932688942 PECOS PAC ID: 8123433364 Enrollment ID: I20210219001743 |
| Provider Name | Colleen Henry Kolar |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912139791 PECOS PAC ID: 1850706912 Enrollment ID: I20210223001685 |
| Provider Name | Alyson Vong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487246641 PECOS PAC ID: 8628483690 Enrollment ID: I20210225000971 |
| Provider Name | Taylor Ryan Raetz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639322324 PECOS PAC ID: 8123433018 Enrollment ID: I20210301000398 |
| Provider Name | Edwina Saplan Ambion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407366214 PECOS PAC ID: 6901212802 Enrollment ID: I20210301000991 |
| Provider Name | Whitney K Self Gilbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497919237 PECOS PAC ID: 8325101157 Enrollment ID: I20210310000392 |
| Provider Name | Karmin Mclin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184086589 PECOS PAC ID: 4183031552 Enrollment ID: I20210331001609 |
| Provider Name | Janine Golez Guangko |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306467220 PECOS PAC ID: 1355759473 Enrollment ID: I20210409000114 |
| Provider Name | Jennifer Gail Harr |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235723784 PECOS PAC ID: 5991113029 Enrollment ID: I20210409000609 |
| Provider Name | Lydia Mitchelle Kaufman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407268022 PECOS PAC ID: 9537577606 Enrollment ID: I20210412000143 |
| Provider Name | Ashley Nicole Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932758703 PECOS PAC ID: 0244561629 Enrollment ID: I20210412001223 |
| Provider Name | Tabatha Opal Rawal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174759435 PECOS PAC ID: 8325456965 Enrollment ID: I20210420000397 |
| Provider Name | Shannon Quin Schaffler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174654792 PECOS PAC ID: 5698174506 Enrollment ID: I20210526001676 |
| Provider Name | Dawn R Hungate |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962863969 PECOS PAC ID: 1456751528 Enrollment ID: I20210610001634 |
| Provider Name | Anna Temple |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215240197 PECOS PAC ID: 9931509007 Enrollment ID: I20210610001879 |
| Provider Name | Gabriel Igwala |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679141782 PECOS PAC ID: 7719388156 Enrollment ID: I20210623002039 |
| Provider Name | Karen Dyches Noyes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831746478 PECOS PAC ID: 4183025539 Enrollment ID: I20210623002415 |
| Provider Name | Rebecca Ann Fields |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104164326 PECOS PAC ID: 4385045632 Enrollment ID: I20210624002068 |
| Provider Name | Sean Godfrey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790108694 PECOS PAC ID: 0446651368 Enrollment ID: I20210630000775 |
| Provider Name | Alan Kamai Akana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174192462 PECOS PAC ID: 2567863301 Enrollment ID: I20210630001709 |
| Provider Name | Carolyn Kiefer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134492242 PECOS PAC ID: 6002218591 Enrollment ID: I20210707000022 |
| Provider Name | Melissa Kay Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720665383 PECOS PAC ID: 9436551892 Enrollment ID: I20210708001272 |
| Provider Name | Amruta Sonavaria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801366265 PECOS PAC ID: 7315349412 Enrollment ID: I20210713000080 |
| Provider Name | Mark Munoz Vitor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780165886 PECOS PAC ID: 2567864457 Enrollment ID: I20210715000124 |
| Provider Name | Tonya Greene |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477629533 PECOS PAC ID: 2961804646 Enrollment ID: I20210719000597 |
| Provider Name | Tara R Cecil |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053648840 PECOS PAC ID: 1951703636 Enrollment ID: I20210719000638 |
| Provider Name | Roseanne Elyse Bodin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003383530 PECOS PAC ID: 8123421435 Enrollment ID: I20210723002769 |
| Provider Name | Lesna G Senessie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609947183 PECOS PAC ID: 1658774724 Enrollment ID: I20210727002046 |
| Provider Name | Philippa Dawn Krauss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386800167 PECOS PAC ID: 6507932118 Enrollment ID: I20210728000130 |
| Provider Name | Julia Duncan Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245803303 PECOS PAC ID: 2365845229 Enrollment ID: I20210729001983 |
| Provider Name | Katarina Lavric |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285118042 PECOS PAC ID: 4789087669 Enrollment ID: I20210729002635 |
| Provider Name | Liana Logsdon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407529548 PECOS PAC ID: 7810391224 Enrollment ID: I20210806002576 |
| Provider Name | Rujuta Agashe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508341298 PECOS PAC ID: 5890199103 Enrollment ID: I20210809003817 |
| Provider Name | Jacqueline S Alexander |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841771136 PECOS PAC ID: 9133523343 Enrollment ID: I20210810004002 |
| Provider Name | Morgan Aarionne Mays |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912519182 PECOS PAC ID: 4880099332 Enrollment ID: I20210820001170 |
| Provider Name | Ruchi Katyal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073976973 PECOS PAC ID: 5395140834 Enrollment ID: I20210823001311 |
| Provider Name | Briana C Aikins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174085104 PECOS PAC ID: 1456756766 Enrollment ID: I20210825001956 |
| Provider Name | Seena Thomas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841823226 PECOS PAC ID: 5092110270 Enrollment ID: I20210826000843 |
| Provider Name | Myka S Goodrum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013485093 PECOS PAC ID: 1759786866 Enrollment ID: I20210826002434 |
| Provider Name | Kalpana Sadhu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548741143 PECOS PAC ID: 2769887884 Enrollment ID: I20210826002843 |
| Provider Name | Karina Euperio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275207854 PECOS PAC ID: 7113323858 Enrollment ID: I20210907000312 |
| Provider Name | Kamal Korkonda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063763506 PECOS PAC ID: 8325348352 Enrollment ID: I20210907001566 |
| Provider Name | Shoba Moses |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720377393 PECOS PAC ID: 2567868771 Enrollment ID: I20210913002504 |
| Provider Name | Sajeena David |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184051252 PECOS PAC ID: 6305243403 Enrollment ID: I20210915003785 |
| Provider Name | Chetali Chetan Negandhi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730756982 PECOS PAC ID: 6709283773 Enrollment ID: I20210920000572 |
| Provider Name | Eric Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770949489 PECOS PAC ID: 1951604230 Enrollment ID: I20210920000600 |
| Provider Name | Michelle Rego |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093312357 PECOS PAC ID: 3173920766 Enrollment ID: I20210924000036 |
| Provider Name | Surabhi Suneja |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598116592 PECOS PAC ID: 0648677021 Enrollment ID: I20210928001548 |
| Provider Name | Valerie Sanderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578235107 PECOS PAC ID: 1153729827 Enrollment ID: I20211011000970 |
| Provider Name | Sophia Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336811694 PECOS PAC ID: 9638577299 Enrollment ID: I20211012001757 |
| Provider Name | Mersida Kolenovic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801567268 PECOS PAC ID: 5991103558 Enrollment ID: I20211012001837 |
| Provider Name | Fatima Carrillo Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760150304 PECOS PAC ID: 5395143705 Enrollment ID: I20211014001677 |
| Provider Name | Shruti Shinde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619646734 PECOS PAC ID: 2961800248 Enrollment ID: I20211018002508 |
| Provider Name | Fay Lanoux |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366937633 PECOS PAC ID: 4688923196 Enrollment ID: I20211020002733 |
| Provider Name | Michele A Curry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508253097 PECOS PAC ID: 9335537364 Enrollment ID: I20211025002671 |
| Provider Name | Creana Kiran Patel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417412867 PECOS PAC ID: 5294123154 Enrollment ID: I20211026000935 |
| Provider Name | Taron M Wallace |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588336788 PECOS PAC ID: 4981092871 Enrollment ID: I20211026001998 |
| Provider Name | Garima Bhatia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558990853 PECOS PAC ID: 3173911070 Enrollment ID: I20211026002376 |
| Provider Name | Fritzie Joy Ibarra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427543180 PECOS PAC ID: 8628466430 Enrollment ID: I20211028000484 |
| Provider Name | Lauren Duque |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043881055 PECOS PAC ID: 1951790930 Enrollment ID: I20211112000844 |
| Provider Name | Martha Pruitt Linyard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093213910 PECOS PAC ID: 4880083807 Enrollment ID: I20211112002616 |
| Provider Name | Elaine M Santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962526830 PECOS PAC ID: 0244120343 Enrollment ID: I20211122000866 |
| Provider Name | Kelleigh Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346480282 PECOS PAC ID: 8022408376 Enrollment ID: I20211201001248 |
| Provider Name | Abegail Riguerra Nobles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043596455 PECOS PAC ID: 1557751807 Enrollment ID: I20211201001392 |
| Provider Name | Andrea Rhodes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053543470 PECOS PAC ID: 7911279377 Enrollment ID: I20211201003181 |
| Provider Name | Emily Stratton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699431130 PECOS PAC ID: 3971993627 Enrollment ID: I20211213000144 |
| Provider Name | Sarah Harris Welch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538792650 PECOS PAC ID: 8921499500 Enrollment ID: I20211216000674 |
| Provider Name | Juniper Docdocil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689637738 PECOS PAC ID: 1153712484 Enrollment ID: I20211222000208 |
| Provider Name | Densise Weaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508106014 PECOS PAC ID: 5890186746 Enrollment ID: I20220103001448 |
| Provider Name | Keila Luna |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487174603 PECOS PAC ID: 0547652158 Enrollment ID: I20220111001639 |
| Provider Name | Jonathan Manuel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316147424 PECOS PAC ID: 5698168490 Enrollment ID: I20220131000113 |
| Provider Name | Amy Hoelscher Seebeck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760712418 PECOS PAC ID: 0749673275 Enrollment ID: I20220207000127 |
| Provider Name | Sheryl Tucker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235779513 PECOS PAC ID: 7214320753 Enrollment ID: I20220207000473 |
| Provider Name | Belinda Viator |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508519372 PECOS PAC ID: 0446643720 Enrollment ID: I20220209001090 |
| Provider Name | Lauren Pigott |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407411390 PECOS PAC ID: 7113310236 Enrollment ID: I20220211001393 |
| Provider Name | Maria Del Rocio Urbina |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154074516 PECOS PAC ID: 6800289935 Enrollment ID: I20220211001627 |
| Provider Name | Kelly M Walker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013660190 PECOS PAC ID: 1759774607 Enrollment ID: I20220217000468 |
| Provider Name | Samantha Nicole Gdanski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912668997 PECOS PAC ID: 2860885738 Enrollment ID: I20220217001211 |
| Provider Name | Howard Yew |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225781099 PECOS PAC ID: 7618361304 Enrollment ID: I20220223000022 |
| Provider Name | Teresa Petrucci-coley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396499885 PECOS PAC ID: 6709270499 Enrollment ID: I20220223000063 |
| Provider Name | Diana Chun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255996229 PECOS PAC ID: 4981098555 Enrollment ID: I20220224000444 |
| Provider Name | Ashish Nabi Hamilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043889587 PECOS PAC ID: 0648664888 Enrollment ID: I20220303001344 |
| Provider Name | Tina C Abraham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376132084 PECOS PAC ID: 4183038706 Enrollment ID: I20220309000143 |
| Provider Name | Lavonne Lorg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487942165 PECOS PAC ID: 4284897042 Enrollment ID: I20220331000470 |
| Provider Name | Gina Renee Farkas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588749519 PECOS PAC ID: 3274593207 Enrollment ID: I20220331000886 |
| Provider Name | Kathy Rosealyn Terrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811644883 PECOS PAC ID: 8628464492 Enrollment ID: I20220404000612 |
| Provider Name | Ramyashri Arunachalam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154660793 PECOS PAC ID: 1456747880 Enrollment ID: I20220411001994 |
| Provider Name | Hansa Atwal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023507142 PECOS PAC ID: 1951656420 Enrollment ID: I20220414000153 |
| Provider Name | Julie Marie Jackson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144962077 PECOS PAC ID: 0143617936 Enrollment ID: I20220426001108 |
| Provider Name | Jill Inez Scott-richard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881920577 PECOS PAC ID: 6709273535 Enrollment ID: I20220426003076 |
| Provider Name | Lauren Elizabeth Hall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477824605 PECOS PAC ID: 4486041142 Enrollment ID: I20220427001392 |
| Provider Name | Patricia Elizabeth Dix |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467935460 PECOS PAC ID: 8921495581 Enrollment ID: I20220428001976 |
| Provider Name | Lisa Kuchler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659016095 PECOS PAC ID: 5890172878 Enrollment ID: I20220512001091 |
| Provider Name | Di Chen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023450632 PECOS PAC ID: 4385021369 Enrollment ID: I20220512001349 |
| Provider Name | Mark Anthony Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437894409 PECOS PAC ID: 5799163119 Enrollment ID: I20220525002387 |
| Provider Name | Molly Sarah Bolger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982287413 PECOS PAC ID: 5193103521 Enrollment ID: I20220525002777 |
| Provider Name | Anita Oommen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194191106 PECOS PAC ID: 4880073204 Enrollment ID: I20220615001417 |
| Provider Name | Maria Celeste Khashi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710183579 PECOS PAC ID: 0042699316 Enrollment ID: I20220616000092 |
| Provider Name | Mansi Gaurav Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548737067 PECOS PAC ID: 6507245768 Enrollment ID: I20220617000559 |
| Provider Name | Aldin Monzales Soneja |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619499928 PECOS PAC ID: 1759760648 Enrollment ID: I20220623001668 |
| Provider Name | Joanne Ambrozaitis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376611442 PECOS PAC ID: 2466832829 Enrollment ID: I20220702000055 |
| Provider Name | Ashlynn S Clark |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558933929 PECOS PAC ID: 3678953502 Enrollment ID: I20220708002030 |
| Provider Name | Vijetha Mudireddi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881101152 PECOS PAC ID: 1951781665 Enrollment ID: I20220712000112 |
| Provider Name | Ashleigh Michele Gillis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831821388 PECOS PAC ID: 8820479330 Enrollment ID: I20220714003075 |
| Provider Name | Diane Kay Heidegger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124241088 PECOS PAC ID: 3870974264 Enrollment ID: I20220716000141 |
| Provider Name | Shannon Marie Mulhollan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720710379 PECOS PAC ID: 4082095393 Enrollment ID: I20220718003694 |
| Provider Name | Bruce Shaw |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407093669 PECOS PAC ID: 3577945385 Enrollment ID: I20220726002850 |
| Provider Name | Donna Michelle Eggers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356473060 PECOS PAC ID: 5597147330 Enrollment ID: I20220727000308 |
| Provider Name | Kendall Peterson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700366879 PECOS PAC ID: 2365824596 Enrollment ID: I20220803003488 |
| Provider Name | Megan Conant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861958233 PECOS PAC ID: 7810379096 Enrollment ID: I20220804001282 |
| Provider Name | Kimberly Berry Syrinek |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295388924 PECOS PAC ID: 1254713134 Enrollment ID: I20220809003363 |
| Provider Name | Maria Sonia Latigo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952624637 PECOS PAC ID: 9931582749 Enrollment ID: I20220811001524 |
| Provider Name | Beata Wozniczka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659986156 PECOS PAC ID: 2264815489 Enrollment ID: I20220819001400 |
| Provider Name | Isha Vaishampayan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871941823 PECOS PAC ID: 9739563594 Enrollment ID: I20220829002986 |
| Provider Name | Jessica Foley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174005896 PECOS PAC ID: 1355725110 Enrollment ID: I20220829003073 |
| Provider Name | Lyndsey Bess Resnik |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801523113 PECOS PAC ID: 5092199703 Enrollment ID: I20220830001873 |
| Provider Name | Joy Liu Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609101872 PECOS PAC ID: 4587048012 Enrollment ID: I20220901002746 |
| Provider Name | Anuradha Chatterjee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396105177 PECOS PAC ID: 2163729229 Enrollment ID: I20220908001152 |
| Provider Name | Wendy Cortes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154040053 PECOS PAC ID: 8224412317 Enrollment ID: I20220909000253 |
| Provider Name | Mahathi Guttikonda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275261075 PECOS PAC ID: 5496130577 Enrollment ID: I20220912000609 |
| Provider Name | Dalina A Purcaru Llerandi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720387897 PECOS PAC ID: 9133303878 Enrollment ID: I20220913002118 |
| Provider Name | Kimberly M Mueller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427409580 PECOS PAC ID: 7517355951 Enrollment ID: I20220914000218 |
| Provider Name | Jane Lowe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255833729 PECOS PAC ID: 5991180655 Enrollment ID: I20220915002240 |
| Provider Name | Loudyfel Go Soco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700900826 PECOS PAC ID: 8123403557 Enrollment ID: I20220921000053 |
| Provider Name | Pradeep Sharma |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770603367 PECOS PAC ID: 3779546502 Enrollment ID: I20220927000765 |
| Provider Name | Rebecca Eve Campbell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558099887 PECOS PAC ID: 8820474893 Enrollment ID: I20220928001041 |
| Provider Name | Melony Meeks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487376281 PECOS PAC ID: 2860878600 Enrollment ID: I20221003001773 |
| Provider Name | Sydney Katherine Mulholland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114649126 PECOS PAC ID: 2264818004 Enrollment ID: I20221003001969 |
| Provider Name | Maria Cortes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295106995 PECOS PAC ID: 0749666014 Enrollment ID: I20221011000488 |
| Provider Name | Jacquiline O Go |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427243914 PECOS PAC ID: 2365818697 Enrollment ID: I20221012000113 |
| Provider Name | Brittney Govender |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972118800 PECOS PAC ID: 3971970138 Enrollment ID: I20221101002982 |
| Provider Name | Katrina Herzik |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083195242 PECOS PAC ID: 2264809151 Enrollment ID: I20221107000641 |
| Provider Name | Gelenie Pecjo Fulo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255995072 PECOS PAC ID: 4587031315 Enrollment ID: I20221107002929 |
| Provider Name | Angela Crutch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730806340 PECOS PAC ID: 8325415953 Enrollment ID: I20221110000942 |
| Provider Name | Julie Alaniz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376910794 PECOS PAC ID: 3173923125 Enrollment ID: I20221114000146 |
| Provider Name | Gladys Anzalotti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659088201 PECOS PAC ID: 4486022605 Enrollment ID: I20221119000181 |
| Provider Name | Leena Ann Thomas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881175321 PECOS PAC ID: 3577931609 Enrollment ID: I20221122000957 |
| Provider Name | Kapil Thakkar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093353468 PECOS PAC ID: 4183093727 Enrollment ID: I20221203000328 |
| Provider Name | Ericka L Bryant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548797400 PECOS PAC ID: 1759750268 Enrollment ID: I20221205003254 |
| Provider Name | Melissa Dorr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184334484 PECOS PAC ID: 8325417546 Enrollment ID: I20221210000458 |
| Provider Name | Farah Galo Ulat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124143888 PECOS PAC ID: 3870962962 Enrollment ID: I20221213000114 |
| Provider Name | Mithlesh K Vani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386882173 PECOS PAC ID: 5294104113 Enrollment ID: I20221215000009 |
| Provider Name | Miguel Carlos Cruz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811589930 PECOS PAC ID: 1355710070 Enrollment ID: I20221219002305 |
| Provider Name | Yemisi Elizabeth Adewole |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164172979 PECOS PAC ID: 2567832041 Enrollment ID: I20221227001032 |
| Provider Name | Samantha Renee Honie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992288260 PECOS PAC ID: 6800138108 Enrollment ID: I20230119002994 |
| Provider Name | Peter A Fasanya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437300605 PECOS PAC ID: 7517974215 Enrollment ID: I20230131001486 |
| Provider Name | Klaire P Hardey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952743825 PECOS PAC ID: 9537530530 Enrollment ID: I20230131001585 |
| Provider Name | Bernadette Rosario Gracia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629587100 PECOS PAC ID: 5890167340 Enrollment ID: I20230208003247 |
| Provider Name | Christopher Montrell Ceasor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962118893 PECOS PAC ID: 1254703648 Enrollment ID: I20230213001136 |
| Provider Name | Tiffany Banyard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477601730 PECOS PAC ID: 9335511740 Enrollment ID: I20230214000022 |
| Provider Name | Mary Kriekenbeek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194954685 PECOS PAC ID: 3870965122 Enrollment ID: I20230214002061 |
| Provider Name | Tayler Daniele Stanton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639784465 PECOS PAC ID: 2567834674 Enrollment ID: I20230217000588 |
| Provider Name | Anu John |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548966120 PECOS PAC ID: 9436521531 Enrollment ID: I20230220000954 |
| Provider Name | Cara Squires |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174239198 PECOS PAC ID: 2264805266 Enrollment ID: I20230222000337 |
| Provider Name | Jlayna Reeves |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023535473 PECOS PAC ID: 7618340480 Enrollment ID: I20230224001692 |
| Provider Name | Laurie Lejeune |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679270078 PECOS PAC ID: 3072986702 Enrollment ID: I20230228002947 |
| Provider Name | Charissa Elazegui Culanag |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073054201 PECOS PAC ID: 1355714965 Enrollment ID: I20230302000100 |
| Provider Name | Maria Angela Lontoc Fox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356610653 PECOS PAC ID: 8426385626 Enrollment ID: I20230303001772 |
| Provider Name | Rosetta Malayil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184369852 PECOS PAC ID: 2769856897 Enrollment ID: I20230313001836 |
| Provider Name | Teresa Delaisla |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215083829 PECOS PAC ID: 6305210303 Enrollment ID: I20230314002119 |
| Provider Name | Brandi L Dodd |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932808730 PECOS PAC ID: 4486028214 Enrollment ID: I20230318000050 |
| Provider Name | Kyle Erwin Tanner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831670074 PECOS PAC ID: 4183098742 Enrollment ID: I20230321003029 |
| Provider Name | Leigh Tatum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699157842 PECOS PAC ID: 3779957360 Enrollment ID: I20230322001527 |
| Provider Name | Shruti Jambhekar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306518311 PECOS PAC ID: 4981078102 Enrollment ID: I20230329001817 |
| Provider Name | Tam Tran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881395275 PECOS PAC ID: 2264807437 Enrollment ID: I20230403000026 |
| Provider Name | Shasten Mason |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629542360 PECOS PAC ID: 0345615332 Enrollment ID: I20230404002844 |
| Provider Name | Andrea Johnbaptiste |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184364705 PECOS PAC ID: 0446625156 Enrollment ID: I20230412000187 |
| Provider Name | Chantalle Antypas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528516739 PECOS PAC ID: 4486916897 Enrollment ID: I20230412001150 |
| Provider Name | Rachel Markworth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639873300 PECOS PAC ID: 8325413974 Enrollment ID: I20230412001933 |
| Provider Name | Zita Inman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649473067 PECOS PAC ID: 6305201427 Enrollment ID: I20230425001192 |
| Provider Name | Omolara Ajayi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356045108 PECOS PAC ID: 8729443759 Enrollment ID: I20230427000201 |
| Provider Name | Nida Ashfaq |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194412767 PECOS PAC ID: 1658736285 Enrollment ID: I20230503001779 |
| Provider Name | Norell Carrillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114187218 PECOS PAC ID: 2163573056 Enrollment ID: I20230511001139 |
| Provider Name | Sherry Arman Shaaf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093090185 PECOS PAC ID: 5092171249 Enrollment ID: I20230515001765 |
| Provider Name | Susana Karbo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689274623 PECOS PAC ID: 8729444807 Enrollment ID: I20230515003400 |
| Provider Name | David Salib |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326417288 PECOS PAC ID: 5890028138 Enrollment ID: I20230524002092 |
| Provider Name | Seema Benipal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508270026 PECOS PAC ID: 3971960600 Enrollment ID: I20230612000411 |
| Provider Name | Meghan Payne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114610128 PECOS PAC ID: 0042677734 Enrollment ID: I20230612002436 |
| Provider Name | Bindu Susan Chacko |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659971208 PECOS PAC ID: 8921466103 Enrollment ID: I20230620002769 |
| Provider Name | Nichole Thomas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225669484 PECOS PAC ID: 0446618631 Enrollment ID: I20230620003382 |
| Provider Name | Kathryn Evelyn Flowers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801444609 PECOS PAC ID: 7315305133 Enrollment ID: I20230626002650 |
| Provider Name | Bethany Ann Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245802255 PECOS PAC ID: 9234598947 Enrollment ID: I20230628003449 |
| Provider Name | Jodie Jean Mccutcheon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861921777 PECOS PAC ID: 1355700964 Enrollment ID: I20230629002380 |
| Provider Name | Michelle Lynne Simpson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700973393 PECOS PAC ID: 8729447651 Enrollment ID: I20230710002304 |
| Provider Name | Nini Rajan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215439450 PECOS PAC ID: 0244690238 Enrollment ID: I20230721003426 |
| Provider Name | Paulette Taku |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518363043 PECOS PAC ID: 0749641330 Enrollment ID: I20230728002490 |
| Provider Name | Giridhar Reddy Ontaddu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417423815 PECOS PAC ID: 9638532757 Enrollment ID: I20230822003956 |
| Provider Name | Justin Diaz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437811692 PECOS PAC ID: 0840653614 Enrollment ID: I20230825002779 |
| Provider Name | Kaminibahen Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003291253 PECOS PAC ID: 6901250232 Enrollment ID: I20230920003045 |
| Provider Name | Chandrika Baskaran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811525801 PECOS PAC ID: 5193179364 Enrollment ID: I20230922000867 |
| Provider Name | Kiran Shafique |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740750587 PECOS PAC ID: 2668861360 Enrollment ID: I20230925003803 |
| Provider Name | Leigh Armes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720711542 PECOS PAC ID: 3274988696 Enrollment ID: I20231004003143 |
| Provider Name | Douglas Flynn Schneider |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437937497 PECOS PAC ID: 7618322058 Enrollment ID: I20231005000010 |
| Provider Name | Shatonya Pickens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134424740 PECOS PAC ID: 7719332329 Enrollment ID: I20231016003711 |
| Provider Name | Vedad Fazel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700562782 PECOS PAC ID: 9739534280 Enrollment ID: I20231018002398 |
| Provider Name | Lauren Elizabeth Hoffman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962915728 PECOS PAC ID: 5294180758 Enrollment ID: I20231018002908 |
| Provider Name | Brad Mcewen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073029922 PECOS PAC ID: 5799131207 Enrollment ID: I20231019001244 |
| Provider Name | Gadina Gill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265095426 PECOS PAC ID: 0042543639 Enrollment ID: I20231021000534 |
| Provider Name | Tiah Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073394714 PECOS PAC ID: 2365898442 Enrollment ID: I20231025002802 |
| Provider Name | Jacilyn Shanique Cotton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154667533 PECOS PAC ID: 8224484233 Enrollment ID: I20231027000727 |
| Provider Name | Gerald Jules Declouet |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073200663 PECOS PAC ID: 6507212529 Enrollment ID: I20231027001168 |
| Provider Name | Marites Reventar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144762170 PECOS PAC ID: 1355797176 Enrollment ID: I20231030002368 |
| Provider Name | Connie Love |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730550401 PECOS PAC ID: 4789031386 Enrollment ID: I20231102003981 |
| Provider Name | Michelle A. D. Rutledge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932848561 PECOS PAC ID: 4183870447 Enrollment ID: I20231103002864 |
| Provider Name | Shefali Dinesh Mehta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558140996 PECOS PAC ID: 7214385798 Enrollment ID: I20231121003242 |
| Provider Name | Valen Villo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265826432 PECOS PAC ID: 6204284193 Enrollment ID: I20231204001319 |
| Provider Name | Caroline Ramirez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649877408 PECOS PAC ID: 1951752906 Enrollment ID: I20240104000374 |
| Provider Name | Nicole Denise Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356863286 PECOS PAC ID: 4082065065 Enrollment ID: I20240104001777 |
| Provider Name | Pamela Boudreau |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316401755 PECOS PAC ID: 2769835891 Enrollment ID: I20240125000774 |
| Provider Name | Rebecca Kay Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750157707 PECOS PAC ID: 6305299447 Enrollment ID: I20240125001154 |
| Provider Name | Jessica Breanne Pham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720849151 PECOS PAC ID: 4880037142 Enrollment ID: I20240205000554 |
| Provider Name | Angela Waggener |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760849830 PECOS PAC ID: 9032552138 Enrollment ID: I20240206001502 |
| Provider Name | Motunrayo Akinro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639845340 PECOS PAC ID: 3173967353 Enrollment ID: I20240215001385 |
| Provider Name | Mary Daugherty |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891929097 PECOS PAC ID: 9931543022 Enrollment ID: I20240216001385 |
| Provider Name | Viju Pachikara |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699255745 PECOS PAC ID: 5799769576 Enrollment ID: I20240226003486 |
| Provider Name | Michael Bermudez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750407706 PECOS PAC ID: 9537470505 Enrollment ID: I20240305003090 |
| Provider Name | Angela Rivera Quizon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285499368 PECOS PAC ID: 6507202967 Enrollment ID: I20240308000380 |
| Provider Name | Alexzandrea Vertucci |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003535964 PECOS PAC ID: 8628414885 Enrollment ID: I20240311000068 |
| Provider Name | Adrianna Kebodeaux |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871073163 PECOS PAC ID: 8820434558 Enrollment ID: I20240315001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthpro Heritage Rehab & Fitness, Llc 536 Old Howell Rd, Greenville, SC 29615-1969 Ph: (864) 244-3626 | Healthpro Heritage Rehab & Fitness, Llc 359 Village Commons Blvd, Georgetown, TX 78633-4448 Ph: (512) 277-6405 |
Andrew P Creal, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4879 Williams Dr Ste 103, Georgetown, TX 78633 Phone: 512-843-0118 Fax: 512-843-0108 | |
Baylee Althof, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 204 S Interstate 35 Ste 203, Georgetown, TX 78628 Phone: 512-863-7761 Fax: 512-863-0973 | |
Ashler Gowen, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1502 Blue Ridge Drive, Suite 304, Georgetown, TX 78626 Phone: 512-699-1228 | |
Ms. Ma Nila Romano Seno, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4011 Williams Dr, Georgetown, TX 78628 Phone: 512-868-2700 | |
Honoree Mcgraw Pope, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4402 Williams Dr Ste 115, Georgetown, TX 78628 Phone: 336-782-1555 | |
Mr. Jeffrey Lum, PT, MPT, DIP MDT Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Quail Valley Dr, Georgetown, TX 78626 Phone: 512-559-6551 Fax: 512-591-0789 | |
Jissa Thayil, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2406 Brookhollow Ter, Georgetown, TX 78626 Phone: 183-262-0316 |