| Brock O'neal, PT, DPT, ATC | |
|
1150 Graham Rd Ste 104, Florissant, MO 63031-8077 | |
| (314) 953-6090 | |
| Not Available |
| Full Name | Brock O'neal |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1150 Graham Rd Ste 104, Florissant, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639790090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15111 (Tennessee) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| Provider Name | Agilitas Usa, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Brock O'neal, PT, DPT, ATC 8986 Bromden Ln E Apt 103, Memphis, TN 38125-1155 Ph: (573) 768-1415 | Brock O'neal, PT, DPT, ATC 1150 Graham Rd Ste 104, Florissant, MO 63031-8077 Ph: (314) 953-6090 |
Ms. Sharon S Gallagher, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 936 Charbonier Rd., Rehab Dept. Rehabcare At St. Sophia Health Center, Florissant, MO 63031 Phone: 314-831-4800 Fax: 314-838-2172 | |
Mrs. Sue M Stevens, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12555 Partridge Run Dr, Florissant, MO 63033 Phone: 314-741-4126 Fax: 314-741-4450 | |
Michaela R Ward, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 790 N Highway 67 St, Florissant, MO 63031 Phone: 314-972-1442 Fax: 314-972-1533 | |
Lyra Rivera Phan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 New Florissant Rd S, Florissant, MO 63013 Phone: 314-830-7950 | |
Anne Horton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6854 Parker Rd, Florissant, MO 63033 Phone: 314-652-4100 | |
Kaitlyn Elaine Amos, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Dunn Rd, Florissant, MO 63033 Phone: 314-972-8070 | |
Mrs. Tammy L Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 936 Charbonier Rd, Florissant, MO 63031 Phone: 314-831-4800 |