| Physiologic, Llc | |
|
709 N Fm 1187, Aledo, TX 76008-4338 | |
| (817) 366-5754 | |
| Not Available |
| Full Name | Physiologic, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 709 N Fm 1187, Aledo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538815576 | NPI | - | NPPES |
| 1790431989 | Medicaid | TX | |
| 1871020768 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Phillip A Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871020768 PECOS PAC ID: 9032489802 Enrollment ID: I20170727000331 |
| Provider Name | David Zane Holley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538750021 PECOS PAC ID: 4385059724 Enrollment ID: I20210218000045 |
| Provider Name | John Lee Pena |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790431989 PECOS PAC ID: 8325424039 Enrollment ID: I20221019002278 |
| Provider Name | Hillary Hummel-kerbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285288373 PECOS PAC ID: 7315300738 Enrollment ID: I20230831002673 |
| Mailing Address | Practice Location Address |
|---|---|
| Physiologic, Llc 7705 Bryce Canyon Dr W, Fort Worth, TX 76137-4313 Ph: (682) 553-1913 | Physiologic, Llc 709 N Fm 1187, Aledo, TX 76008-4338 Ph: (817) 366-5754 |
Jennifer Ashley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 Welch Folly Ln, Aledo, TX 76008 Phone: 817-832-0072 | |
Liberty Electrodiagnostics Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 217 Honey Brook Ln, Aledo, TX 76008 Phone: 940-782-3158 | |
Rebecca Moreno, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Larson Ln, Aledo, TX 76008 Phone: 817-431-9000 | |
Diana C Gonzalez, Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 Bailey Ranch Rd Ste 300, Aledo, TX 76008 Phone: 682-593-3237 | |
Ms. Lindsay M Graf, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14844 Blakely Way, Aledo, TX 76008 Phone: 215-272-4013 | |
Kristi Lee Shashack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 519 Pine St Ste 103, Aledo, TX 76008 Phone: 817-441-5500 Fax: 817-441-5040 |