| Jensine Shine Canullas Chavez, | |
|
2606 W Pecan St Ste 102, Pflugerville, TX 78660-1917 | |
| (512) 527-6298 | |
| Not Available |
| Full Name | Jensine Shine Canullas Chavez |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 2606 W Pecan St Ste 102, Pflugerville, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669193991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Physical Therapy Of Texas Llc | 0547583809 | 301 |
| Provider Name | Ideal Physical Therapy Of Texas Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Jensine Shine Canullas Chavez, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Jensine Shine Canullas Chavez, 2606 W Pecan St Ste 102, Pflugerville, TX 78660-1917 Ph: (512) 527-6298 |
Dylan Race, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2606 W Pecan St Ste 102, Pflugerville, TX 78660 Phone: 512-527-6298 | |
Cassandra Lynne Polanski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 608 Runners Rdg, Pflugerville, TX 78660 Phone: 254-338-3579 | |
Kristen Nicole Smith, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1202 Fm 685 Ste C3, Pflugerville, TX 78660 Phone: 512-501-1888 | |
Mr. John Rosevear Burton Jr., MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19101 Limestone Commercial Dr Ste 200, Pflugerville, TX 78660 Phone: 512-710-3235 Fax: 512-710-3236 | |
Vincy Thomas, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19101 Limestone Commercial Dr Ste 200, Pflugerville, TX 78660 Phone: 512-710-3235 | |
Evan Jung, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15812 Windermere Dr # 100b, Pflugerville, TX 78660 Phone: 512-222-8220 | |
Kristen Scully, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 N Heatherwilde Blvd, Pflugerville, TX 78660 Phone: 512-324-5352 |