Marc Gelinas, | |
1710 Egret Ln, Southlake, TX 76092-5800 | |
(817) 821-5494 | |
Not Available |
Full Name | Marc Gelinas |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1710 Egret Ln, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285255372 | NPI | - | NPPES |
1082683 | Other | TX | TEXAS PHYSICAL THERAPY LICENSE NUMBER |
P627 | Other | NC | NORTH CAROLINA PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1082683 (Texas) | Primary |
Provider Name | Empowerme Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1255900296 PECOS PAC ID: 2769723162 Enrollment ID: O20211006001271 |
Mailing Address | Practice Location Address |
---|---|
Marc Gelinas, 1710 Egret Ln, Southlake, TX 76092-5800 Ph: (817) 821-5494 | Marc Gelinas, 1710 Egret Ln, Southlake, TX 76092-5800 Ph: (817) 821-5494 |
Erin Goebel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 817-416-0108 | |
Mikaela Whatley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 E State Highway 114 Ste 101, Southlake, TX 76092 Phone: 469-919-6299 | |
Mrs. Lisa Alice Redding, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Whitney Holmans, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 682-651-1909 | |
Jennifer Merimonti, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Watermere Dr., Southlake, TX 76092 Phone: 817-431-8668 | |
Kara Edgerton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2813 W Southlake Blvd, Suite 110, Southlake, TX 76092 Phone: 817-310-8780 Fax: 817-310-8781 | |
Raphael Augustus Sadiwa, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 180 State St Ste 225, Southlake, TX 76092 Phone: 866-839-6979 |