| |
2431 S Loop 289, Lubbock, TX 79423-1519 | |
(806) 771-8008 | |
(806) 771-8009 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 2431 S Loop 289, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235169590 | NPI | - | NPPES |
55JZ | Other | TX | BCBS |
DB7657 | Other | TX | MEDICARE RAILROAD |
280453601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Provider Name | Leslie Anne Hardin |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255330601 PECOS PAC ID: 5991690968 Enrollment ID: I20040218000653 |
Provider Name | Tamara Davis Klatt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477557858 PECOS PAC ID: 8820072564 Enrollment ID: I20040617001592 |
Provider Name | Justin Ryan Smallwood |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679577050 PECOS PAC ID: 7719965144 Enrollment ID: I20040712000511 |
Provider Name | Adrian A Sobrevilla |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831254812 PECOS PAC ID: 7315905478 Enrollment ID: I20041221000897 |
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 | Ryan T Schwalk |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437130697 PECOS PAC ID: 6002838059 Enrollment ID: I20051219000961 |
Provider Name | Lori Ann Bilodeau |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295723625 PECOS PAC ID: 6002839743 Enrollment ID: I20060109001100 |
Provider Name | William S Lewis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396749776 PECOS PAC ID: 1951290618 Enrollment ID: I20060125000557 |
Provider Name | Kimberly J Frick |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811069156 PECOS PAC ID: 4789786260 Enrollment ID: I20070301000516 |
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 | Lindsey D Snow |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649532474 PECOS PAC ID: 5991955684 Enrollment ID: I20121015000158 |
Provider Name | Derek Young |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295081826 PECOS PAC ID: 3476708389 Enrollment ID: I20130226000441 |
Provider Name | Elisa Sandoval Boese |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912339268 PECOS PAC ID: 0143454298 Enrollment ID: I20131004000021 |
Provider Name | Janette Pickens |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326292673 PECOS PAC ID: 4486978343 Enrollment ID: I20150123001884 |
Provider Name | Sarah Thomas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093191462 PECOS PAC ID: 3173832128 Enrollment ID: I20151014002268 |
Provider Name | Toby P Daniel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760994123 PECOS PAC ID: 0941569073 Enrollment ID: I20180118001999 |
Provider Name | Brandon D Heyda |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669857140 PECOS PAC ID: 9931415858 Enrollment ID: I20181024000783 |
Provider Name | Silvia P Galvez-uribe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962983635 PECOS PAC ID: 9436403037 Enrollment ID: I20181119000880 |
Provider Name | Amadeo Esequiel Ledesma |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750937389 PECOS PAC ID: 9830429364 Enrollment ID: I20190926002073 |
Provider Name | Cassie Arnold |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629625157 PECOS PAC ID: 0648500074 Enrollment ID: I20190926002558 |
Provider Name | Landon Harris Nauert |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518513068 PECOS PAC ID: 5890025241 Enrollment ID: I20190926003158 |
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 | Bailey Heinrich |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881207470 PECOS PAC ID: 1254759590 Enrollment ID: I20200917002329 |
Provider Name | Caitlin N Lott |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811508724 PECOS PAC ID: 6305264516 Enrollment ID: I20200918001882 |
Provider Name | Tina K Herston |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073094546 PECOS PAC ID: 9436555083 Enrollment ID: I20210907000980 |
Provider Name | Alysha Reep |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053526301 PECOS PAC ID: 5890877351 Enrollment ID: I20211112001312 |
Provider Name | Keyra Hernandez |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1023774296 PECOS PAC ID: 2264821867 Enrollment ID: I20211122000984 |
Provider Name | Braden Bessire |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609520295 PECOS PAC ID: 0941694319 Enrollment ID: I20220301000497 |
Provider Name | Austin Ackerman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841938495 PECOS PAC ID: 5092193821 Enrollment ID: I20220607000269 |
Provider Name | Laura Kiser |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821222373 PECOS PAC ID: 5991187007 Enrollment ID: I20220806000318 |
Provider Name | Alexander Hanson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225756646 PECOS PAC ID: 4789069717 Enrollment ID: I20220912003173 |
Provider Name | Kaitlyn Anderson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639953813 PECOS PAC ID: 3870956709 Enrollment ID: I20230825000684 |
Provider Name | Taylor Ashlyn Woods |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447933916 PECOS PAC ID: 1254785132 Enrollment ID: I20230926002976 |
Provider Name | Claresta Elisabeth Tasman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710552120 PECOS PAC ID: 3678921731 Enrollment ID: I20231129003572 |
Provider Name | Kenlie Kay Baxter |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245062801 PECOS PAC ID: 2860931235 Enrollment ID: I20240829001028 |
Provider Name | Austin Nelson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790519171 PECOS PAC ID: 8820538291 Enrollment ID: I20240911004887 |
Provider Name | Jayme Whitley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649001595 PECOS PAC ID: 0143761072 Enrollment ID: I20240919000681 |
Mailing Address | Practice Location Address |
---|---|
Po Box 932184, Atlanta, GA 31193-2184 Ph: () - | 2431 S Loop 289, Lubbock, TX 79423-1519 Ph: (806) 771-8008 |
Mrs. Liesl Lynn Olson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3223 S Loop 289, Ste 101, Lubbock, TX 79423 Phone: 806-740-3342 Fax: 806-740-3325 | |
Mr. Robert Glenn Roten, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6801 Indiana Ave, Lubbock, TX 79413 Phone: 806-785-7900 Fax: 806-785-7909 | |
Natalie Denise Steadman, ATC, LAT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4507 7th St, Lubbock, TX 79416 Phone: 806-791-0316 Fax: 806-743-3518 | |
Jennifer Mounce, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4138 19th St, Lubbock, TX 79407 Phone: 806-771-8008 Fax: 806-771-8009 | |
Mr. Shane Edward Haas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5606 Geneva Ave, Lubbock, TX 79413 Phone: 806-797-3805 Fax: 806-797-0140 | |
Mr. Charles Franklin Berry, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1628 19th St, Lubbock, TX 79401 Phone: 806-766-1172 Fax: 806-766-1286 | |
Jodi Benham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6202 82nd St, Lubbock, TX 79424 Phone: 806-687-8008 Fax: 806-687-8009 |