| Performancepro Sports Medicine And Rehabilitation Limited Partnership | |
|
4135 S Broadway Ave, Tyler, TX 75701-8720 | |
| (713) 297-7000 | |
| (713) 297-7090 |
| Full Name | Performancepro Sports Medicine And Rehabilitation Limited Partnership |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4135 S Broadway Ave, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740464387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Steven Christipher Dunford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922323567 PECOS PAC ID: 2062697634 Enrollment ID: I20110425000608 |
| Provider Name | Brandon Adkison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760817043 PECOS PAC ID: 9931335791 Enrollment ID: I20131126001619 |
| Provider Name | John Fite |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265814859 PECOS PAC ID: 6103131958 Enrollment ID: I20150824000067 |
| Provider Name | Leah F Woodruff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972820611 PECOS PAC ID: 0840552626 Enrollment ID: I20180314000622 |
| Provider Name | Katherine Welch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477291003 PECOS PAC ID: 3870973761 Enrollment ID: I20220709000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Performancepro Sports Medicine And Rehabilitation Limited Partnership 1300 W Sam Houston Pkwy S, Suite 300, Houston, TX 77042-2447 Ph: (713) 297-7000 | Performancepro Sports Medicine And Rehabilitation Limited Partnership 4135 S Broadway Ave, Tyler, TX 75701-8720 Ph: (713) 297-7000 |
Cynthia Ann Manes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 S Broadway Ave, 500, Tyler, TX 75702 Phone: 903-245-6632 Fax: 903-531-2451 | |
Colette K Boyd, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2323 W Front St, Tyler, TX 75702 Phone: 903-597-1351 Fax: 903-535-7386 | |
Mr. Terry Alan Bunker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5407 New Copeland Rd, Suite 100, Tyler, TX 75703 Phone: 903-630-7204 Fax: 903-630-7205 | |
Mark Roland Saczek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-536-3123 Fax: 903-596-3122 | |
Mr. Timothy A Lyke, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-596-3151 Fax: 903-569-0110 | |
Joanna Marie Chan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 Persimmon Dr, Tyler, TX 75707 Phone: 903-253-8318 | |
Stormy Case, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-592-8001 |