| Mr Richard Mata Abad, PT | |
|
118 Forest Dr., Martin, TN 38237-3639 | |
| (931) 232-4555 | |
| Not Available |
| Full Name | Mr Richard Mata Abad |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 35 Years |
| Location | 118 Forest Dr., Martin, Tennessee |
| 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 |
|---|---|---|---|
| 1396984175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2725 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeway Physical Therapy Outpatient, Pllc | 8527184001 | 2 |
| Provider Name | Lakeway Physical Therapy Outpatient, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588809461 PECOS PAC ID: 8527184001 Enrollment ID: O20100922000688 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Mata Abad, PT 118 Forest Dr, Martin, TN 38237-3639 Ph: (731) 587-3692 | Mr Richard Mata Abad, PT 118 Forest Dr., Martin, TN 38237-3639 Ph: (931) 232-4555 |
Jacqueline Cultra Gilliam, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 904 Templeton Rd, Martin, TN 38237 Phone: 731-588-0814 Fax: 731-587-5012 | |
Mr. Wesley Russell Yates, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
Mrs. Linda A Nethery, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
Mr. Brian Wray Smith, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
The Sideline Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
Mrs. Janie West, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 |