| Phillip Richard, PT, DPT | |
|
225 N Moonlight Rd, Gardner, KS 66030-1928 | |
| (913) 856-7927 | |
| Not Available |
| Full Name | Phillip Richard |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 225 N Moonlight Rd, Gardner, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568249084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-07458 (Kansas) | Primary |
| Provider Name | Serc Rehabilitation Partners Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130517000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Richard, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Phillip Richard, PT, DPT 225 N Moonlight Rd, Gardner, KS 66030-1928 Ph: (913) 856-7927 |
Kelly Anne Yates, PT, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 N Moonlight Rd, Gardner, KS 66030 Phone: 913-856-7927 Fax: 913-856-8442 | |
Sandra Billinger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 223 Bedford St, Gardner, KS 66030 Phone: 615-896-6400 | |
Erin Anne Nichols, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 N Moonlight Rd, Gardner, KS 66030 Phone: 913-856-7927 Fax: 913-856-8442 | |
Ryan Barragree, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 824 E Main St, Gardner, KS 66030 Phone: 913-324-8680 | |
Karley Lynn Perry, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 N Moonlight Rd, Gardner, KS 66030 Phone: 913-856-7927 Fax: 913-856-8442 | |
Jamie F Konrade, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 223 Bedford St, Gardner, KS 66030 Phone: 615-896-6400 | |
Aubrey Bender, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 N Moonlight Rd, Gardner, KS 66030 Phone: 913-856-7927 |