| Jimmy Luong, | |
|
17051 Dallas Pkwy Ste 450, Addison, TX 75001-7118 | |
| (972) 979-6577 | |
| Not Available |
| Full Name | Jimmy Luong |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 17051 Dallas Pkwy Ste 450, Addison, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285343806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 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 |
|---|---|
| Jimmy Luong, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Jimmy Luong, 17051 Dallas Pkwy Ste 450, Addison, TX 75001-7118 Ph: (972) 979-6577 |
Jessica Alvarado Barrios, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 214-575-2999 | |
Nupur Maheshwari, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14665 Midway Rd Ste 110, Addison, TX 75001 Phone: 972-382-9732 | |
Bruno Martins Frazao, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14665 Midway Rd Ste 110, Addison, TX 75001 Phone: 972-382-9992 | |
Holland Kitten, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 806-577-2878 | |
Robert David Stewart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17051 Dallas Pkwy, Suite 450, Addison, TX 75001 Phone: 469-416-5250 Fax: 469-416-5260 | |
Laura Chiu, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15800 Midway Rd, Addison, TX 75001 Phone: 615-778-4066 Fax: 615-778-9114 | |
Sally Sue Mallory, P.T; ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 Bobbin Ln, Addison, TX 75001 Phone: 214-763-9173 |