| Comeback Physical Therapy Llc | |
|
4904 Turnstone Dr, Austin, TX 78744-4528 | |
| (360) 791-7917 | |
| Not Available |
| Full Name | Comeback Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 4904 Turnstone Dr, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538943204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Blaise T Bourgeois |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497272017 PECOS PAC ID: 8921347873 Enrollment ID: I20190311002809 |
| Provider Name | Kiellor Conn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972115897 PECOS PAC ID: 0143647594 Enrollment ID: I20200831000877 |
| Provider Name | Michelle Materna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720709553 PECOS PAC ID: 0143606228 Enrollment ID: I20220927000899 |
| Provider Name | Christopher Dickerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003164831 PECOS PAC ID: 0244482453 Enrollment ID: I20221230000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Comeback Physical Therapy Llc 4904 Turnstone Dr, Austin, TX 78744-4528 Ph: (360) 791-7917 | Comeback Physical Therapy Llc 4904 Turnstone Dr, Austin, TX 78744-4528 Ph: (360) 791-7917 |