| Kervins Delphonse, PT, DPT | |
|
663 Jordan St, Shreveport, LA 71101-4748 | |
| (318) 222-8882 | |
| (318) 222-8893 |
| Full Name | Kervins Delphonse |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 663 Jordan St, Shreveport, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982203840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11746R (Louisiana) | Secondary |
| 225100000X | Physical Therapist | PT36227 (Florida) | Secondary |
| 225100000X | Physical Therapist | 1384870 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Age Victoriously, Llc | 6709228778 | 8 |
| Provider Name | Physiotherapy Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962553636 PECOS PAC ID: 3577470442 Enrollment ID: O20070222000442 |
| Provider Name | Age Victoriously, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518744861 PECOS PAC ID: 6709228778 Enrollment ID: O20240522000660 |
| Mailing Address | Practice Location Address |
|---|---|
| Kervins Delphonse, PT, DPT 10 Oak Ct Apt 5211, Houston, TX 77006-1666 Ph: (786) 547-7237 | Kervins Delphonse, PT, DPT 663 Jordan St, Shreveport, LA 71101-4748 Ph: (318) 222-8882 |
Suzannah Kathryn York - Crump, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 266 Ockley Dr, Shreveport, LA 71105 Phone: 337-580-0083 Fax: 337-580-0083 | |
Anna Means Moore, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Fairfield Ave, Shreveport, LA 71104 Phone: 318-841-0696 Fax: 318-841-0776 | |
Sydney Williams, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 670 Albemarle Dr Ste 1100, Shreveport, LA 71106 Phone: 318-828-1450 Fax: 318-828-2697 | |
Archna Shasta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7591 Fern Ave Ste 1203, Shreveport, LA 71105 Phone: 318-828-2972 | |
Claire Marie Melebeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, School Of Allied Health, Shreveport, LA 71103 Phone: 318-813-2961 Fax: 318-813-2989 | |
Michael Wayne Wiltcher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10178 Berrywood Cir, Shreveport, LA 71106 Phone: 318-469-4349 | |
Dr. Courtney E Page, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6969 Fern Loop Ste A, Shreveport, LA 71105 Phone: 317-383-0022 |