| Dominic Michael Engolia, | |
|
114 Gause Blvd W, Slidell, LA 70460-2625 | |
| (985) 607-6363 | |
| Not Available |
| Full Name | Dominic Michael Engolia |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 114 Gause Blvd W, Slidell, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528777026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10900 (Louisiana) | Primary |
| Provider Name | City Park Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1003178393 PECOS PAC ID: 2264676741 Enrollment ID: O20130924000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Michael Engolia, 114 Gause Blvd W, Slidell, LA 70460-2625 Ph: (985) 607-6363 | Dominic Michael Engolia, 114 Gause Blvd W, Slidell, LA 70460-2625 Ph: (985) 607-6363 |
Heather G. Matula, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1311 Gause Blvd, Slidell, LA 70458 Phone: 985-649-6577 | |
Robyn Denise Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 N Military Rd, Slidell, LA 70461 Phone: 985-641-2996 | |
Renee Ruello, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 56634 Bosworth St, Slidell, LA 70458 Phone: 985-641-2222 Fax: 985-649-3864 | |
Dr. Miguel Andres Larrea, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2965 Gause Blvd E, Slidell, LA 70461 Phone: 985-231-6480 | |
Gretechen Turner, PT, DPT, LSVT BIG Physical Therapist Medicare: Medicare Enrolled Practice Location: 107 S Military Rd, Suite 1, Slidell, LA 70461 Phone: 985-641-2866 Fax: 985-641-7998 | |
Katherine Brewer Tyree, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1150 Robert Blvd Ste 232, Slidell, LA 70458 Phone: 985-641-2996 Fax: 985-259-4349 | |
Insight Therapeutic Rehabilitation Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Turtle Creek Blvd, Slidell, LA 70461 Phone: 985-639-0505 Fax: 985-639-0205 |