Jennifer Walline, DPT | |
731 E Southlake Blvd Ste 150, Southlake, TX 76092-6380 | |
(817) 442-8600 | |
(817) 442-8603 |
Full Name | Jennifer Walline |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 731 E Southlake Blvd Ste 150, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104225515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10070 (Tennessee) | Secondary |
225100000X | Physical Therapist | 1353422 (Texas) | Primary |
Provider Name | Tennessee Orthopaedic Alliance Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538153937 PECOS PAC ID: 5193625069 Enrollment ID: O20040109000069 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Walline, DPT Po Box 2650, Coppell, TX 75019-8607 Ph: (972) 724-2400 | Jennifer Walline, DPT 731 E Southlake Blvd Ste 150, Southlake, TX 76092-6380 Ph: (817) 442-8600 |
Erin Goebel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 817-416-0108 | |
Mrs. Lisa Alice Redding, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Whitney Holmans, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 682-651-1909 | |
Jennifer Merimonti, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Watermere Dr., Southlake, TX 76092 Phone: 817-431-8668 | |
Kara Edgerton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2813 W Southlake Blvd, Suite 110, Southlake, TX 76092 Phone: 817-310-8780 Fax: 817-310-8781 | |
Theresa J Adame-brooks, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 817-416-0108 | |
Tina Marie Chaney, PT, DPT, CMT, PRPC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 S Nolen Dr, Ste 100, Southlake, TX 76092 Phone: 817-410-7777 Fax: 817-410-9906 |