| Legacy Healthcare Services Inc. | |
|
3405 El Salido Pkwy, Cedar Park, TX 78613-5640 | |
| (855) 239-3467 | |
| Not Available |
| Full Name | Legacy Healthcare Services Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3405 El Salido Pkwy, Cedar Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871132357 | NPI | - | NPPES |
| Provider Name | Jill Cahill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669582342 PECOS PAC ID: 1456334358 Enrollment ID: I20040611000021 |
| Provider Name | Donna Lynn Witten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518936111 PECOS PAC ID: 8426034679 Enrollment ID: I20040628000914 |
| Provider Name | Anne Fecht Hanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073530002 PECOS PAC ID: 2668454539 Enrollment ID: I20070212000661 |
| Provider Name | Christa A Dinubilo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508056466 PECOS PAC ID: 3779666300 Enrollment ID: I20080206000043 |
| Provider Name | Jane R Bomer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184753550 PECOS PAC ID: 8527142421 Enrollment ID: I20080303000260 |
| Provider Name | Ernestina C Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962540526 PECOS PAC ID: 7214004332 Enrollment ID: I20080916000069 |
| Provider Name | Wendy C Fahle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770816944 PECOS PAC ID: 8123167889 Enrollment ID: I20091209000494 |
| Provider Name | Allison Gayle Tumlinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841561925 PECOS PAC ID: 1850531476 Enrollment ID: I20130702000605 |
| Provider Name | Jenifer M Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487901955 PECOS PAC ID: 5395067136 Enrollment ID: I20141204001805 |
| Provider Name | Manpreet K Sheabat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033502505 PECOS PAC ID: 1759669559 Enrollment ID: I20161029000267 |
| Provider Name | Tiffany A Boulware |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407925746 PECOS PAC ID: 0749563948 Enrollment ID: I20170214001616 |
| Provider Name | Emily Ann Thoes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386163079 PECOS PAC ID: 1153687025 Enrollment ID: I20171108003364 |
| 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 | Justina E Philip |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033694567 PECOS PAC ID: 0648514414 Enrollment ID: I20181205000712 |
| 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 | Yvette F Deleo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801954177 PECOS PAC ID: 4789738238 Enrollment ID: I20190926001032 |
| Provider Name | Catherine U Jerrells |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073661435 PECOS PAC ID: 3173957404 Enrollment ID: I20191219002143 |
| Provider Name | Kelly Lee Fehrs |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932768256 PECOS PAC ID: 1153755483 Enrollment ID: I20191219002231 |
| Provider Name | Jose L Palacios |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376734608 PECOS PAC ID: 3870922214 Enrollment ID: I20200406001124 |
| 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 | Sharmin M Wankadia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669614996 PECOS PAC ID: 1456774231 Enrollment ID: I20200713001715 |
| Provider Name | Ankitaben M Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851906069 PECOS PAC ID: 5193144806 Enrollment ID: I20200930000669 |
| Provider Name | Kavitha Parasumanna Janarthanaa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255998837 PECOS PAC ID: 4082025887 Enrollment ID: I20201130003138 |
| Provider Name | Sarah P Francis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891275624 PECOS PAC ID: 8022422674 Enrollment ID: I20210122001376 |
| Provider Name | Priyanka Amin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124632278 PECOS PAC ID: 3072929637 Enrollment ID: I20210304002366 |
| Provider Name | Shubhangi T Khaparde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548500168 PECOS PAC ID: 4284879990 Enrollment ID: I20210407000477 |
| Provider Name | Swapna Meegada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548727316 PECOS PAC ID: 0941619936 Enrollment ID: I20210504000189 |
| Provider Name | Rozalind C Fagan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902011901 PECOS PAC ID: 3577962570 Enrollment ID: I20210525000198 |
| Provider Name | Kelli A Lambert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093399792 PECOS PAC ID: 5496154411 Enrollment ID: I20210525001009 |
| Provider Name | Joseph P Hsiao |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639651045 PECOS PAC ID: 1557760998 Enrollment ID: I20210604000811 |
| 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 | Lori H Haseloff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053691303 PECOS PAC ID: 3779983879 Enrollment ID: I20210610003114 |
| Provider Name | Ashley Marie Maddern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356641575 PECOS PAC ID: 6204023450 Enrollment ID: I20210610003194 |
| Provider Name | Ravina Desai |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730782293 PECOS PAC ID: 5092126003 Enrollment ID: I20210614002947 |
| Provider Name | Beth A Pogue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750868394 PECOS PAC ID: 4284035627 Enrollment ID: I20210623001997 |
| Provider Name | Leah C Mesquita |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417184375 PECOS PAC ID: 7618378985 Enrollment ID: I20210623003278 |
| Provider Name | Tamara F Liburd |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962096941 PECOS PAC ID: 5597166322 Enrollment ID: I20210630001272 |
| Provider Name | Danyelle B Huffaker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003484916 PECOS PAC ID: 6800298910 Enrollment ID: I20210713000606 |
| Provider Name | Jenna L Lambert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770166720 PECOS PAC ID: 4981006921 Enrollment ID: I20210713001873 |
| Provider Name | Vincent C Wee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619457918 PECOS PAC ID: 6103228168 Enrollment ID: I20210713002569 |
| Provider Name | Dawn L Araujo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942711510 PECOS PAC ID: 9133522741 Enrollment ID: I20210720002509 |
| Provider Name | Missy A Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720699697 PECOS PAC ID: 0143623710 Enrollment ID: I20210721000384 |
| Provider Name | Kelly M Mason |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730756412 PECOS PAC ID: 0648673004 Enrollment ID: I20210722000813 |
| Provider Name | Kevin Dang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275934838 PECOS PAC ID: 7315340510 Enrollment ID: I20210726002730 |
| Provider Name | Bryson J. Price |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780166298 PECOS PAC ID: 6103220876 Enrollment ID: I20210803003622 |
| Provider Name | Niharika Raghuvanshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245904432 PECOS PAC ID: 5092110551 Enrollment ID: I20210820001516 |
| 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 | Deepthi R Bandi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780700674 PECOS PAC ID: 9234534629 Enrollment ID: I20210824000409 |
| Provider Name | Teri L Burch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548773864 PECOS PAC ID: 1153727987 Enrollment ID: I20210902001906 |
| Provider Name | Rachel Eb Crumrine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710593439 PECOS PAC ID: 8325444607 Enrollment ID: I20210913001044 |
| 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 | Prathima Mandava |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063661288 PECOS PAC ID: 0941607550 Enrollment ID: I20210924000645 |
| Provider Name | Jennifer B Catalano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831499045 PECOS PAC ID: 5890193916 Enrollment ID: I20211004002816 |
| Provider Name | Tamara D Wagner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528254778 PECOS PAC ID: 4587067087 Enrollment ID: I20211006000295 |
| Provider Name | Silvia Castillo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790397503 PECOS PAC ID: 8729486402 Enrollment ID: I20211011001302 |
| Provider Name | Khalilah A Joseph |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689185639 PECOS PAC ID: 5698173011 Enrollment ID: I20211014002064 |
| Provider Name | Kenya K Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790031326 PECOS PAC ID: 3577961820 Enrollment ID: I20211018001333 |
| Provider Name | Kelly Bruce Rollins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275080616 PECOS PAC ID: 6901294909 Enrollment ID: I20211025001323 |
| 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 | Genelda Alfred |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265913677 PECOS PAC ID: 5294123907 Enrollment ID: I20211029001899 |
| Provider Name | Kimberly M Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427409580 PECOS PAC ID: 7517355951 Enrollment ID: I20211103003278 |
| 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 | Prachi P Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003570268 PECOS PAC ID: 8325438948 Enrollment ID: I20211214000310 |
| Provider Name | Mekell A Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982376489 PECOS PAC ID: 1850782061 Enrollment ID: I20211223000786 |
| Provider Name | Shruthy Jacob |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992274179 PECOS PAC ID: 6204227267 Enrollment ID: I20211229002399 |
| Provider Name | Brenda L Hoy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669851960 PECOS PAC ID: 2668866732 Enrollment ID: I20220307001321 |
| Provider Name | George Vartanian |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730714833 PECOS PAC ID: 5991133100 Enrollment ID: I20220310002855 |
| Provider Name | Kelsey Perry |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487135265 PECOS PAC ID: 1355736638 Enrollment ID: I20220323002403 |
| Provider Name | Farrah R Santos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609292564 PECOS PAC ID: 7214252337 Enrollment ID: I20220406001324 |
| Provider Name | Nilam S Negandhi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295477735 PECOS PAC ID: 2264829092 Enrollment ID: I20220426003012 |
| Provider Name | Aja L Grant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689320343 PECOS PAC ID: 0042607673 Enrollment ID: I20220428000927 |
| Provider Name | Jonina Mae D Wee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922580927 PECOS PAC ID: 5597143545 Enrollment ID: I20220602001583 |
| Provider Name | Terry L Mcwilliams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740231612 PECOS PAC ID: 8921488859 Enrollment ID: I20220708002086 |
| Provider Name | Ashton L Johnston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285389122 PECOS PAC ID: 9830570142 Enrollment ID: I20220718003527 |
| Provider Name | Victoria R Baier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023600913 PECOS PAC ID: 3779966635 Enrollment ID: I20220810002705 |
| Provider Name | Dhara P Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164093274 PECOS PAC ID: 1456734045 Enrollment ID: I20220815001494 |
| Provider Name | Megan K Nese |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003077983 PECOS PAC ID: 7719361427 Enrollment ID: I20220830001889 |
| Provider Name | Lynn Edinger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578916870 PECOS PAC ID: 6002215886 Enrollment ID: I20220912000430 |
| 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 | Michelle A Preston |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538880232 PECOS PAC ID: 0446626527 Enrollment ID: I20221013003049 |
| Provider Name | Megan N Wurth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326779638 PECOS PAC ID: 9537536263 Enrollment ID: I20221109000258 |
| Provider Name | Michelle L Dodds |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134391048 PECOS PAC ID: 9739557109 Enrollment ID: I20221116002868 |
| Provider Name | Avery C Beedy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861112724 PECOS PAC ID: 9032587332 Enrollment ID: I20221117001082 |
| 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 | Mendy J Mick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215169289 PECOS PAC ID: 9234508490 Enrollment ID: I20221209000622 |
| Provider Name | Nichole M Peck |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356824544 PECOS PAC ID: 0042689051 Enrollment ID: I20221214002110 |
| Provider Name | Ashley A Geer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861869273 PECOS PAC ID: 4981073905 Enrollment ID: I20221214002542 |
| Provider Name | Michele Buenaventura |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386126043 PECOS PAC ID: 6002285863 Enrollment ID: I20221217000228 |
| 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 | Julie W Wingard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386395556 PECOS PAC ID: 6002286465 Enrollment ID: I20221228002805 |
| Provider Name | Brian J Mustico |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144594946 PECOS PAC ID: 7810367281 Enrollment ID: I20221228002855 |
| Provider Name | Eva V Solis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679996227 PECOS PAC ID: 7719357185 Enrollment ID: I20221228002899 |
| Provider Name | Lyndsi N Walterscheid |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467160671 PECOS PAC ID: 6103296546 Enrollment ID: I20221230000344 |
| Provider Name | Sinduri Burri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730410093 PECOS PAC ID: 7012172638 Enrollment ID: I20230105002169 |
| Provider Name | Katherine E Ueno |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003560996 PECOS PAC ID: 1658741624 Enrollment ID: I20230109001087 |
| Provider Name | Suttivit Jiranorrawat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235856238 PECOS PAC ID: 1557731494 Enrollment ID: I20230111001082 |
| Provider Name | Timi L Horton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881022549 PECOS PAC ID: 1254615776 Enrollment ID: I20230126002167 |
| Provider Name | Michelle L Trevino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962157040 PECOS PAC ID: 4082085030 Enrollment ID: I20230130001889 |
| Provider Name | Hannah M Shrauner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346807054 PECOS PAC ID: 5496127169 Enrollment ID: I20230206001381 |
| Provider Name | Pamela L Ingram |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043854045 PECOS PAC ID: 3577935113 Enrollment ID: I20230208002370 |
| Provider Name | Maimili Velankar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144983024 PECOS PAC ID: 2062884612 Enrollment ID: I20230208002770 |
| Provider Name | Emma G Bennett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396352761 PECOS PAC ID: 8527430891 Enrollment ID: I20230214003118 |
| Provider Name | Karen M Caesar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538294558 PECOS PAC ID: 7618340381 Enrollment ID: I20230228000050 |
| Provider Name | Viviana Tijerina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346822103 PECOS PAC ID: 9537532957 Enrollment ID: I20230307000280 |
| Provider Name | Sharyl A Evans |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053891846 PECOS PAC ID: 1456725282 Enrollment ID: I20230319000026 |
| Provider Name | Van K Le |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154846061 PECOS PAC ID: 0840664447 Enrollment ID: I20230322001614 |
| Provider Name | Angela L Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326527490 PECOS PAC ID: 7113391632 Enrollment ID: I20230324001210 |
| Provider Name | Kayla S Allen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245970904 PECOS PAC ID: 6406220664 Enrollment ID: I20230330000246 |
| Provider Name | Alana M Mathew |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679288872 PECOS PAC ID: 0244695815 Enrollment ID: I20230504000003 |
| Provider Name | Dianna L Simpson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699361113 PECOS PAC ID: 1951768423 Enrollment ID: I20230530000694 |
| Provider Name | Whitney N Stilwell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013566207 PECOS PAC ID: 9436528635 Enrollment ID: I20230614001359 |
| Provider Name | Orit Z Pacht |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437337722 PECOS PAC ID: 3375901887 Enrollment ID: I20230615000461 |
| Provider Name | Marek Ondruj |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760048706 PECOS PAC ID: 4688907751 Enrollment ID: I20230615002109 |
| Provider Name | Kristin N Podnar |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912555798 PECOS PAC ID: 1254792104 Enrollment ID: I20230725003691 |
| Provider Name | Giancarlo De Jesus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700275690 PECOS PAC ID: 7719393180 Enrollment ID: I20230726003739 |
| Provider Name | Alyssa Michelle Nieto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427732205 PECOS PAC ID: 9436511128 Enrollment ID: I20230811001918 |
| Provider Name | Kelsey Gray |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740841360 PECOS PAC ID: 6800259995 Enrollment ID: I20230822002560 |
| Provider Name | Chelsea Rene Sanders |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841538972 PECOS PAC ID: 1658734066 Enrollment ID: I20230901001994 |
| Provider Name | Amanda Elizabeth Leavell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750019915 PECOS PAC ID: 6204206055 Enrollment ID: I20230911003012 |
| Provider Name | Ana Graciela Molina |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114327541 PECOS PAC ID: 4587028410 Enrollment ID: I20230912000600 |
| Provider Name | Fatema Kapadia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346418605 PECOS PAC ID: 9931411675 Enrollment ID: I20230920000798 |
| Provider Name | Marisa V Machado |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528523610 PECOS PAC ID: 4688028970 Enrollment ID: I20230920001366 |
| Provider Name | Aimee Gene Molina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528014180 PECOS PAC ID: 0941210686 Enrollment ID: I20230920002632 |
| Provider Name | Sheree L Mach |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447509039 PECOS PAC ID: 6709230964 Enrollment ID: I20230922000390 |
| Provider Name | Kaitlyn Ward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881175107 PECOS PAC ID: 8123472255 Enrollment ID: I20230922003749 |
| Provider Name | Kelsey Frails |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013792464 PECOS PAC ID: 2769836618 Enrollment ID: I20230926001851 |
| Provider Name | Elizabeth A Purtle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750998993 PECOS PAC ID: 4981058898 Enrollment ID: I20230927000062 |
| Provider Name | Jameel Tamica Wynter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952893513 PECOS PAC ID: 8729432570 Enrollment ID: I20230927001565 |
| Provider Name | Christine E Silva |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669807491 PECOS PAC ID: 4789038340 Enrollment ID: I20230929003473 |
| Provider Name | Kristin M Peterson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568109270 PECOS PAC ID: 9537513999 Enrollment ID: I20231004000462 |
| Provider Name | Michelle Louise Jacelon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497231476 PECOS PAC ID: 7214381698 Enrollment ID: I20231004001053 |
| Provider Name | Brandi Rutherford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528327301 PECOS PAC ID: 1951756386 Enrollment ID: I20231004003896 |
| Provider Name | Staci Lynn Watts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245955467 PECOS PAC ID: 5092160317 Enrollment ID: I20231006000142 |
| Provider Name | Gomathi Kanniappan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891197109 PECOS PAC ID: 1456707967 Enrollment ID: I20231019001113 |
| Provider Name | Susan Hughes Rowland |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164682860 PECOS PAC ID: 5890141220 Enrollment ID: I20231021000078 |
| Provider Name | Soumya Movva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174962989 PECOS PAC ID: 6709232150 Enrollment ID: I20231023000174 |
| Provider Name | Batul Shakir Nek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639880107 PECOS PAC ID: 6406202282 Enrollment ID: I20231031001033 |
| Provider Name | Anna Marie Schuchardt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760964555 PECOS PAC ID: 6103272802 Enrollment ID: I20231101002709 |
| Provider Name | Laila Breana Jason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245713858 PECOS PAC ID: 3072960335 Enrollment ID: I20231107004103 |
| Provider Name | Gary Heng |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487434148 PECOS PAC ID: 0547617870 Enrollment ID: I20231108002480 |
| Provider Name | Jeehan Ibrahim |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194324632 PECOS PAC ID: 8820446339 Enrollment ID: I20231122000237 |
| Provider Name | Mary Jaret Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679979728 PECOS PAC ID: 2860840030 Enrollment ID: I20231128003552 |
| Provider Name | Teambre Chardae Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427822311 PECOS PAC ID: 9133577315 Enrollment ID: I20231129000098 |
| Provider Name | Oluwasegun Awe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356122774 PECOS PAC ID: 8325496342 Enrollment ID: I20231130002044 |
| Provider Name | Lauren Scott Hedayat |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518448356 PECOS PAC ID: 0749638740 Enrollment ID: I20231201001324 |
| Provider Name | Monica Eileen Garcia |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235449083 PECOS PAC ID: 7012366826 Enrollment ID: I20231205003117 |
| Provider Name | Rachel Taylor King |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902388655 PECOS PAC ID: 4688023310 Enrollment ID: I20231207000115 |
| Provider Name | Wen-yi Lai |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699106526 PECOS PAC ID: 5395195838 Enrollment ID: I20231227000463 |
| Provider Name | Katherine Sheets |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013497403 PECOS PAC ID: 0840641726 Enrollment ID: I20240104002021 |
| Provider Name | Ivy Mae Bunachita Carrillo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487816427 PECOS PAC ID: 8123479912 Enrollment ID: I20240105001445 |
| Provider Name | Duan Yi Fang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336887199 PECOS PAC ID: 0244682904 Enrollment ID: I20240118000121 |
| Provider Name | Dyna A Jose |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457827933 PECOS PAC ID: 9032562483 Enrollment ID: I20240201001568 |
| Provider Name | Megan Rains |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740769181 PECOS PAC ID: 9234572702 Enrollment ID: I20240212003422 |
| Provider Name | Wanqian Hall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770003873 PECOS PAC ID: 0042656381 Enrollment ID: I20240308003758 |
| Provider Name | Diane Damitio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548915234 PECOS PAC ID: 1355787474 Enrollment ID: I20240312002270 |
| Provider Name | Catherine Richter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053174227 PECOS PAC ID: 1658718044 Enrollment ID: I20240320003956 |
| Provider Name | Julie O'keefe Allred |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285498113 PECOS PAC ID: 7012354996 Enrollment ID: I20240327002664 |
| Provider Name | Mary Melani Fuentes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750796421 PECOS PAC ID: 2264870971 Enrollment ID: I20240401001252 |
| Provider Name | Jennifer Laun |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275047839 PECOS PAC ID: 7012355480 Enrollment ID: I20240404000154 |
| Provider Name | Jennifer Erin Burke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467100826 PECOS PAC ID: 0941649677 Enrollment ID: I20240415001974 |
| Provider Name | Teresa Machuca |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992568521 PECOS PAC ID: 5193164135 Enrollment ID: I20240423003312 |
| Provider Name | Lauren Elizabeth Ross Wier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295378636 PECOS PAC ID: 8224479910 Enrollment ID: I20240513001697 |
| Provider Name | Rolando Alejandro Rodriguez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174264121 PECOS PAC ID: 2365883832 Enrollment ID: I20240515001025 |
| Provider Name | Andrea Kristen Hawley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962152850 PECOS PAC ID: 1759723711 Enrollment ID: I20240522004289 |
| Provider Name | John Tengra |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447429485 PECOS PAC ID: 5496197303 Enrollment ID: I20240523001849 |
| Provider Name | Dominique Cole-valenzuela |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083494637 PECOS PAC ID: 9335581156 Enrollment ID: I20240524002219 |
| Provider Name | Mary Littlejohn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700659620 PECOS PAC ID: 9931541380 Enrollment ID: I20240530001828 |
| Provider Name | Joyce Dela Cruz Torres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407292170 PECOS PAC ID: 2163965286 Enrollment ID: I20240618001259 |
| Provider Name | Lora Marie Reed |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831435122 PECOS PAC ID: 3577708346 Enrollment ID: I20240622000411 |
| Provider Name | Caroline Mayronne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619724150 PECOS PAC ID: 5294279592 Enrollment ID: I20240627001930 |
| Provider Name | Kristin Elizabeth Pitera |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033616735 PECOS PAC ID: 4789128018 Enrollment ID: I20240627003277 |
| Provider Name | Brynn Jenna Weber |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295578987 PECOS PAC ID: 1658817614 Enrollment ID: I20240725003760 |
| Provider Name | Tammis A Chadwell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346591781 PECOS PAC ID: 3870031537 Enrollment ID: I20240813004098 |
| Provider Name | Lynette Aku Akai |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588408744 PECOS PAC ID: 8820536840 Enrollment ID: I20240821001303 |
| Provider Name | Kiran Jagarlamudi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508199050 PECOS PAC ID: 5092255737 Enrollment ID: I20240910000541 |
| Provider Name | Peter Z Kiser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003671017 PECOS PAC ID: 7416497920 Enrollment ID: I20240911002148 |
| Provider Name | Kristyn E Fletcher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336327691 PECOS PAC ID: 3870677149 Enrollment ID: I20240912001656 |
| Provider Name | Sarah Domin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669204392 PECOS PAC ID: 7214468461 Enrollment ID: I20240930001435 |
| Provider Name | Sarah Benso |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902387772 PECOS PAC ID: 0648701664 Enrollment ID: I20241002000022 |
| Provider Name | Azjah Watson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154053643 PECOS PAC ID: 2961934344 Enrollment ID: I20241010003072 |
| Provider Name | Josephine Ora Baquirin-vasquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285088955 PECOS PAC ID: 3577095215 Enrollment ID: I20241018001425 |
| Provider Name | Patrice N Watts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891971990 PECOS PAC ID: 1850824392 Enrollment ID: I20241023000843 |
| Provider Name | Eriana Jade Kirwin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538986435 PECOS PAC ID: 8123551074 Enrollment ID: I20241030002333 |
| Provider Name | Bailee Ann Waller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467176511 PECOS PAC ID: 2567995236 Enrollment ID: I20241101003497 |
| Provider Name | Peter Coleman Grader |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245005099 PECOS PAC ID: 7416481759 Enrollment ID: I20241109000267 |
| Provider Name | Emily Kaplon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073272159 PECOS PAC ID: 6204360019 Enrollment ID: I20241114004563 |
| Provider Name | Nancy Catholic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164861100 PECOS PAC ID: 1153683784 Enrollment ID: I20241115004284 |
| Provider Name | Hazel Lyn Delos Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518155936 PECOS PAC ID: 3072048735 Enrollment ID: I20241119001868 |
| Provider Name | Jayme Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831912872 PECOS PAC ID: 6901331008 Enrollment ID: I20241126003801 |
| Provider Name | Erena Sarra Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407140254 PECOS PAC ID: 9133656366 Enrollment ID: I20241230000095 |
| Provider Name | Jill Eileen Langham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750400990 PECOS PAC ID: 1355879636 Enrollment ID: I20250114003686 |
| Provider Name | Julie Lynn Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689182743 PECOS PAC ID: 6901335710 Enrollment ID: I20250123002293 |
| Provider Name | Rishi Malhotra |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992379812 PECOS PAC ID: 8325568686 Enrollment ID: I20250218000867 |
| Provider Name | Taylor Bean |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548044373 PECOS PAC ID: 8224558135 Enrollment ID: I20250221003430 |
| Provider Name | Robert J Preliasco |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851009013 PECOS PAC ID: 8820518525 Enrollment ID: I20250225002702 |
| Provider Name | Deborah Zachary |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649581018 PECOS PAC ID: 4688939739 Enrollment ID: I20250311003249 |
| Provider Name | Jasmyne Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871330274 PECOS PAC ID: 8325560667 Enrollment ID: I20250317001914 |
| Provider Name | Jenny Rebecca Dabney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689156077 PECOS PAC ID: 6406370915 Enrollment ID: I20250407001181 |
| Provider Name | Karla Georgia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669764700 PECOS PAC ID: 3678097540 Enrollment ID: I20250411003413 |
| Provider Name | Kimberlin Anne Gonzales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902643125 PECOS PAC ID: 0941724736 Enrollment ID: I20250414003181 |
| Provider Name | David Porianda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245656289 PECOS PAC ID: 7113446006 Enrollment ID: I20250523000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Healthcare Services Inc. 110 Horizon Dr Ste 310, Raleigh, NC 27615-4926 Ph: (910) 424-5080 | Legacy Healthcare Services Inc. 3405 El Salido Pkwy, Cedar Park, TX 78613-5640 Ph: (855) 239-3467 |
Mrs. Jennille Zabierek, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1103 Cypress Creek Rd, Suite 101, Cedar Park, TX 78613 Phone: 512-918-0044 Fax: 210-590-4585 | |
Jennifer Lynn Mott, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 Zappa Dr, Cedar Park, TX 78613 Phone: 512-394-7921 | |
Sheldon Sonnenberg Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Windy Ter Bldg 10, Cedar Park, TX 78613 Phone: 310-880-5513 | |
Brtm-ll Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2423 S Bell Blvd, Cedar Park, TX 78613 Phone: 512-827-3601 Fax: 512-777-5042 | |
Suchiben Gajjar, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4124 Rainy Creek Ln, Cedar Park, TX 78613 Phone: 201-467-9297 | |
Daniel Suku Jezreel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3122 Argento Pl, Cedar Park, TX 78613 Phone: 512-516-3466 Fax: 855-855-5188 | |
Nahyeli Plasencia Faulks, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2519 S Lakeline Blvd Ste 100, Cedar Park, TX 78613 Phone: 512-331-6200 Fax: 512-331-6384 |