| Jake Theis, DPT | |
|
535 Highway 314 Sw, Los Lunas, NM 87031-9600 | |
| (505) 866-0055 | |
| Not Available |
| Full Name | Jake Theis |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 535 Highway 314 Sw, Los Lunas, 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 |
|---|---|---|---|
| 1841032570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-2024-0157 (New Mexico) | Primary |
| Provider Name | Paradigm Physical Therapy And Wellness Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386651412 PECOS PAC ID: 3476524802 Enrollment ID: O20040802000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Theis, DPT 535 Highway 314 Sw, Los Lunas, NM 87031-9600 Ph: (505) 866-0055 | Jake Theis, DPT 535 Highway 314 Sw, Los Lunas, NM 87031-9600 Ph: (505) 866-0055 |
Acute Care House Calls Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Sunranch Village Loop, Suite A, Los Lunas, NM 87031 Phone: 505-361-2111 Fax: 505-407-4486 | |
Antonio Gabriel Valdez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 535 Highway 314 Sw, Los Lunas, NM 87031 Phone: 505-866-0055 | |
David Adrian Garcia, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 535 Hwy 314 Sw, Los Lunas, NM 87031 Phone: 505-866-0055 | |
Mr. James C. Lowder, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Ll Schools, Los Lunas, NM 87509 Phone: 505-866-2440 | |
Patrick E Vigil, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 535 Highway 314 Sw, Los Lunas, NM 87031 Phone: 505-866-0055 Fax: 505-866-0057 | |
Jason Carlos Sedillo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 535 Hwy 314 Sw, Los Lunas, NM 87031 Phone: 505-866-0055 | |
Jeremy Woffinden, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 535 Highway 314 Sw, Los Lunas, NM 87031 Phone: 505-866-0055 Fax: 505-866-0057 |