| Source 1 Medical Inc | |
|
8080 Independence Pkwy Ste 110a, Plano, TX 75025-4000 | |
| (469) 658-0100 | |
| (469) 658-0101 |
| Full Name | Source 1 Medical Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 8080 Independence Pkwy Ste 110a, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457016966 | NPI | - | NPPES |
| Provider Name | Jeffrey Charles Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780012427 PECOS PAC ID: 6901185966 Enrollment ID: I20170417002094 |
| Provider Name | Robert E West |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669497673 PECOS PAC ID: 1052698313 Enrollment ID: I20170516000421 |
| Provider Name | Sean Huscroft |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316558547 PECOS PAC ID: 0042628315 Enrollment ID: I20210427000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Source 1 Medical Inc Po Box 251728, Plano, TX 75025-1517 Ph: (972) 801-2190 | Source 1 Medical Inc 8080 Independence Pkwy Ste 110a, Plano, TX 75025-4000 Ph: (469) 658-0100 |
Shara Hilary Cummings, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4001 W 15th St, Plano, TX 75093 Phone: 972-979-6577 | |
Malavika Venkataraman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3208 Thunderbird Ln, Plano, TX 75075 Phone: 972-422-2214 | |
Kathleen Oliva, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Los Rios Blvd Ste 132, Plano, TX 75074 Phone: 972-509-5070 Fax: 972-509-1557 | |
Thomas Alan Domino, PT, SCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Ohio Dr Ste 110, Plano, TX 75093 Phone: 972-985-2622 | |
Kendra Lee Pike, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Ohio Dr, Suite 110, Plano, TX 75093 Phone: 972-985-2622 | |
Gayle Talley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7709 San Jacinto Pl # 203, Plano, TX 75024 Phone: 469-331-0030 | |
Mr. Bruce Anthony Lamotte Jr., PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5765 Bozeman Dr Apt 1205, Plano, TX 75024 Phone: 817-223-4501 |