| Mariah Velasco, PT | |
|
2700 N Grimes St Ste C, Hobbs, NM 88240-1816 | |
| (575) 392-4129 | |
| Not Available |
| Full Name | Mariah Velasco |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2700 N Grimes St Ste C, Hobbs, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992242333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4847 (New Mexico) | 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 |
|---|---|
| Mariah Velasco, PT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () - | Mariah Velasco, PT 2700 N Grimes St Ste C, Hobbs, NM 88240-1816 Ph: (575) 392-4129 |
Eric Cabato, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 N Grimes St, Hobbs, NM 88240 Phone: 575-392-4010 | |
Mr. Angel Ramon Ponce, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 N Grimes St, Hobbs, NM 88240 Phone: 575-392-4129 Fax: 575-392-3835 | |
Ronald Ventura Benitez, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 N Grimes St Ste C, Hobbs, NM 88240 Phone: 575-392-4129 Fax: 844-292-4019 | |
Danielle Alyse Roberts, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3324 N Lovington Hwy, Hobbs, NM 88240 Phone: 575-441-5054 | |
Deanna Teel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 N Grimes St, Suite C, Hobbs, NM 88240 Phone: 575-392-4129 Fax: 575-392-3835 | |
Timothy Dennis Ryan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3830 N Grimes St, Suite B, Hobbs, NM 88240 Phone: 575-392-3971 Fax: 575-392-4169 | |
Jason Coloma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2424 N Lovington Hwy, Hobbs, NM 88240 Phone: 575-492-9505 |