| Rehab Mobility Pllc | |
|
2480 Mcvoid Rd Springtown TX 76082-3851 | |
| (469) 354-2538 | |
| Not Available |
| Full Name | Rehab Mobility Pllc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 2480 Mcvoid Rd, Springtown, Texas |
| Authorized Official Name and Position | Desiree Ramirez (PRESIDENT/CEO) |
| Authorized Official Contact | 4693542538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehab Mobility Pllc 2480 Mcvoid Rd Springtown TX 76082-3851 Ph: (469) 354-2538 | Rehab Mobility Pllc 2480 Mcvoid Rd Springtown TX 76082-3851 Ph: (469) 354-2538 |
| NPI Number | 1205699881 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 04/14/2025 |
| Certification Date | 04/14/2025 |
| Medicare PECOS PAC ID | 5395286009 |
|---|---|
| Medicare Enrollment ID | O20240923000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205699881 | NPI | - | NPPES |
| Provider Name | Eric Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851557813 PECOS PAC ID: 7618016619 Enrollment ID: I20220916002353 |
| Provider Name | Ryan Self |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285364950 PECOS PAC ID: 2163806274 Enrollment ID: I20230110001402 |
| Provider Name | Spencer Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245576487 PECOS PAC ID: 6002175460 Enrollment ID: I20240410000194 |
| Provider Name | Jackie Pandeya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447588488 PECOS PAC ID: 6800925710 Enrollment ID: I20240410000704 |
| Provider Name | Justen Hinerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881966976 PECOS PAC ID: 6709109317 Enrollment ID: I20241004000505 |
| Provider Name | Andrew Griner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386370955 PECOS PAC ID: 9335521343 Enrollment ID: I20241008000844 |
| Provider Name | Jason Danielson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093163941 PECOS PAC ID: 4981987294 Enrollment ID: I20241018000003 |
| Provider Name | Megan Matus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093482895 PECOS PAC ID: 6103215603 Enrollment ID: I20241021000560 |
| Provider Name | Evan Ingerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760938476 PECOS PAC ID: 5890125033 Enrollment ID: I20241022004867 |
| Provider Name | Tammie Mussari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790974558 PECOS PAC ID: 0446334023 Enrollment ID: I20241023003275 |
| Provider Name | Joshua Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235821745 PECOS PAC ID: 6002349610 Enrollment ID: I20241104001649 |
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