| Brad Mcewen, | |
|
910 W Pierce St Apt 94, Carlsbad, NM 88220-5246 | |
| (903) 724-4949 | |
| Not Available |
| Full Name | Brad Mcewen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 910 W Pierce St Apt 94, Carlsbad, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073029922 | NPI | - | NPPES |
| 4986 | Other | NM | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4986 (New Mexico) | Primary |
| Provider Name | Reneau Rehab Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568510857 PECOS PAC ID: 2365527645 Enrollment ID: O20080311000432 |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Mcewen, 910 W Pierce St Apt 94, Carlsbad, NM 88220-5246 Ph: () - | Brad Mcewen, 910 W Pierce St Apt 94, Carlsbad, NM 88220-5246 Ph: (903) 724-4949 |
Nicholas Suardi, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 126 S Canyon St, Carlsbad, NM 88220 Phone: 575-628-0503 Fax: 575-628-3073 | |
Amena Nausheen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 N Canal St, Carlsbad, NM 88220 Phone: 575-885-1814 | |
Dr. Steven Schuhmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 S. Canyon Road, Carlsbad, NM 88220 Phone: 575-628-3073 | |
Mr. Andrew Slegel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 S Canyon St, Carlsbad, NM 88220 Phone: 575-628-0503 | |
Daniel P Blair, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 S Canyon St, Carlsbad, NM 88220 Phone: 575-628-0503 Fax: 575-628-3073 | |
Shannon Leigh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 N Canal St, Carlsbad, NM 88220 Phone: 575-885-1814 |