| Excel Rehabilitation Services, Llc | |
|
2251 S Burnside Ave, Gonzales, LA 70737-4642 | |
| (225) 644-0290 | |
| (225) 644-4201 |
| Full Name | Excel Rehabilitation Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2251 S Burnside Ave, Gonzales, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093088098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 04493 (Louisiana) | Primary |
| Provider Name | David V Miranda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639264096 PECOS PAC ID: 6002877248 Enrollment ID: I20041021000577 |
| Provider Name | Nicole Townley Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578889952 PECOS PAC ID: 9335374511 Enrollment ID: I20131023001768 |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Rehabilitation Services, Llc 2251 S Burnside Ave, Gonzales, LA 70737-4642 Ph: (225) 644-0290 | Excel Rehabilitation Services, Llc 2251 S Burnside Ave, Gonzales, LA 70737-4642 Ph: (225) 644-0290 |
Mr. Jamie George Smith, MSPT, ATC, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2012 S. Burnside Ave., Suite B, Gonzales, LA 70737 Phone: 225-647-1515 Fax: 225-647-5151 | |
J'olee Renee Parr, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E Highway 30, Gonzales, LA 70737 Phone: 225-647-2060 Fax: 225-647-2062 | |
Devin Speligene, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1227 E Highway 30, Gonzales, LA 70737 Phone: 225-647-2060 | |
Sadie L West, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E Highway 30, Gonzales, LA 70737 Phone: 225-647-2060 Fax: 225-647-2062 | |
Christian L Coulon, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 39092 S Angelle Ct, Gonzales, LA 70737 Phone: 337-303-8150 | |
Brently R Sorgee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E Highway 30, Gonzales, LA 70737 Phone: 225-647-2060 Fax: 225-647-2062 |