| Michael Teague, | |
|
402 N I 45 Ste 130, Ennis, TX 75119-3403 | |
| (469) 517-5500 | |
| (903) 389-7631 |
| Full Name | Michael Teague |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 10 Years |
| Location | 402 N I 45 Ste 130, Ennis, Texas |
| 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 |
|---|---|---|---|
| 1750821856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1287568 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Rehab Providers, Llc | 9638077043 | 20 |
| Athletico Ltd | 4789602681 | 2187 |
| Provider Name | Rural Rehab Providers, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063574671 PECOS PAC ID: 9638077043 Enrollment ID: O20031223000143 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20190128000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Teague, 816 Keller Pkwy, #200, Keller, TX 76248-2479 Ph: (817) 200-7445 | Michael Teague, 402 N I 45 Ste 130, Ennis, TX 75119-3403 Ph: (469) 517-5500 |
Victory Physical Therapy Limited Partnership Physical Therapist Medicare: Medicare Enrolled Practice Location: 1101 S Clay St Ste B, Ennis, TX 75119 Phone: 972-878-0503 Fax: 972-878-6219 |
Mrs. Stephanie Leeann Leal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 W Lampasas St, Ennis, TX 75119 Phone: 469-256-2340 Fax: 469-256-2341 |
Sebastian Alfredo Lopez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 402 N I 45, Ennis, TX 75119 Phone: 469-517-5500 Fax: 903-389-7631 |
Mrs. Carol Jean Noel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2801 Sleepy Hollow Rd, Ennis, TX 75119 Phone: 214-663-7246 |
Deana Marie Wright, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Nw Main St, Ennis, TX 75119 Phone: 972-875-9377 |
Mrs. Julia Penelope Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 W Lampasas St, Ennis, TX 75119 Phone: 972-875-0900 Fax: 469-256-2341 |
Sherri L Rankin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1101 South Clay Street, Suite B, Ennis, TX 75119 Phone: 972-878-0503 Fax: 972-878-6219 |