| Midland Physical Therapy And Sports Rehabilitation Inc | |
|
2420 W Illinois Ave, Midland, TX 79701-6337 | |
| (432) 687-0235 | |
| (432) 570-8713 |
| Full Name | Midland Physical Therapy And Sports Rehabilitation Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2420 W Illinois Ave, Midland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316148992 | NPI | - | NPPES |
| 82979T | Other | TX | BLUE CROSS BLUE SHIELDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT158345 (Texas) | Primary |
| Provider Name | Clint Wes Hacker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619971009 PECOS PAC ID: 8628023132 Enrollment ID: I20050317000659 |
| Provider Name | Amanda Price Rodriquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538492178 PECOS PAC ID: 4688711583 Enrollment ID: I20091026000629 |
| Provider Name | Bradley James Veal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316233026 PECOS PAC ID: 3375713936 Enrollment ID: I20110909002427 |
| Provider Name | Rebecca Ellyse Caffey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679068878 PECOS PAC ID: 7012266091 Enrollment ID: I20180824000219 |
| Provider Name | Jordan Fultz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497127997 PECOS PAC ID: 3274833439 Enrollment ID: I20191001000494 |
| Provider Name | Cynthia A Greenfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881693729 PECOS PAC ID: 3870758758 Enrollment ID: I20220525002708 |
| Provider Name | Taylor Piacente |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881347292 PECOS PAC ID: 3375921802 Enrollment ID: I20220611000116 |
| Provider Name | April Mae Malon Tiu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033830740 PECOS PAC ID: 9931585213 Enrollment ID: I20221011000811 |
| Provider Name | Soolmaz Fischer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144838632 PECOS PAC ID: 5890110118 Enrollment ID: I20240829002665 |
| Provider Name | Braxten Piland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487496584 PECOS PAC ID: 5890235378 Enrollment ID: I20240911001238 |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Physical Therapy And Sports Rehabilitation Inc Po Box 932184, Atlanta, GA 31193-2184 Ph: () - | Midland Physical Therapy And Sports Rehabilitation Inc 2420 W Illinois Ave, Midland, TX 79701-6337 Ph: (432) 687-0235 |
Barbara B Dill, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3003 N A St, Midland, TX 79705 Phone: 432-618-9952 Fax: 432-618-9953 | |
April Mae Malon Tiu, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 301 Dodson St, Midland, TX 79701 Phone: 432-687-0235 | |
Nancy Jane Mason, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3235 W Shandon Ave, Midland, TX 79705 Phone: 432-697-0491 Fax: 432-697-6179 | |
Joshua James Tenbensel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3003 N A St, Midland, TX 79705 Phone: 432-684-7755 | |
Mrs. Susan Green, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5615 Deauville Ste 120, Midland, TX 79706 Phone: 432-221-4915 Fax: 432-221-4917 | |
Dr. Michael David Mendoza, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 E Illinois Ave, Midland, TX 79701 Phone: 432-570-3333 | |
Mrs. Megan Cross, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5615 Deauville Ste 120, Midland, TX 79706 Phone: 432-221-4915 Fax: 432-221-4917 |