| Justin Anthony De Leon Diaz, PT | |
|
302 Medical Pkwy, Lakeway, TX 78738-5632 | |
| (512) 827-0226 | |
| Not Available |
| Full Name | Justin Anthony De Leon Diaz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 302 Medical Pkwy, Lakeway, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437811692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-4670 (Hawaii) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Anthony De Leon Diaz, PT 141 Buenos Aires, Kyle, TX 78640-3120 Ph: (808) 679-7067 | Justin Anthony De Leon Diaz, PT 302 Medical Pkwy, Lakeway, TX 78738-5632 Ph: (512) 827-0226 |
Alexander Martin Field, Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Medical Pkwy Ste 110, Lakeway, TX 78738 Phone: 512-879-4343 Fax: 512-879-4344 | |
Body Balance Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1602 Lohmans Crossing Rd, Lakeway, TX 78734 Phone: 251-226-1869 Fax: 512-261-2237 | |
Connie Clark, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2501 Ranch Road 620 S Ste 140, Lakeway, TX 78734 Phone: 512-527-6944 Fax: 512-572-7805 | |
Reese Franklin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5313 Serene Hills Dr Apt 1903, Lakeway, TX 78738 Phone: 713-305-2428 | |
Rachel Antoine, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Dr, Lakeway, TX 78734 Phone: 512-263-4500 | |
Paul James Hendricks, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1602 Lohmans Crossing Rd, Lakeway, TX 78734 Phone: 512-261-8699 Fax: 512-261-2237 | |
Dr. Catherine Winsby Casto, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Pkwy Ste 260, Lakeway, TX 78738 Phone: 737-237-0016 |