| 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 |
|---|---|
| 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 |