| Mr John Thomas Desimio, LPT | |
|
2505 Stone Hollow Dr Ste 200, Brenham, TX 77833-5631 | |
| (979) 421-8500 | |
| (979) 421-8283 |
| Full Name | Mr John Thomas Desimio |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2505 Stone Hollow Dr Ste 200, Brenham, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023091584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1026052 (Texas) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 1026052 (Texas) | Secondary |
| Provider Name | Trade Winds Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1497292031 PECOS PAC ID: 7012377963 Enrollment ID: O20230724002829 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Thomas Desimio, LPT 2505 Stone Hollow Dr Ste 200, Brenham, TX 77833-5631 Ph: (979) 421-8500 | Mr John Thomas Desimio, LPT 2505 Stone Hollow Dr Ste 200, Brenham, TX 77833-5631 Ph: (979) 421-8500 |
Serenity Medical Billing Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8202 Highway 105, Brenham, TX 77833 Phone: 979-347-3835 | |
Amy A Broome, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 604 Highway 290 W, Brenham, TX 77833 Phone: 979-421-2000 Fax: 979-421-9678 | |
Kayla Evans, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2013 S Market St, Brenham, TX 77833 Phone: 979-830-7050 | |
Dedra Bormann Kolkhorst, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 290 E, Brenham, TX 77833 Phone: 979-337-5702 | |
Kaycie Leal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3120 Highway 36 S, Brenham, TX 77833 Phone: 979-277-9935 | |
Lori Ann Pittman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 E Stone St, Brenham, TX 77833 Phone: 979-830-1996 Fax: 979-251-9536 |