| Platinum Performance Pro Llc | |
|
27118 Highway 290 Ste I, Cypress, TX 77433-4930 | |
| (713) 868-2766 | |
| (713) 868-7575 |
| Full Name | Platinum Performance Pro Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 27118 Highway 290 Ste I, Cypress, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255052130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Rogelio Rivera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720162217 PECOS PAC ID: 2264755818 Enrollment ID: I20150106002417 |
| Provider Name | Jonathan Koborsi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922774819 PECOS PAC ID: 3173928454 Enrollment ID: I20210825000853 |
| Provider Name | Christina Suzanne King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447984448 PECOS PAC ID: 9436533494 Enrollment ID: I20220825001963 |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Performance Pro Llc 27118 Highway 290 Ste I, Cypress, TX 77433-4978 Ph: (281) 918-7652 | Platinum Performance Pro Llc 27118 Highway 290 Ste I, Cypress, TX 77433-4930 Ph: (713) 868-2766 |
Dr. Phong The Nguyen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18002 Dunoon Bay Point Ct, Cypress, TX 77429 Phone: 225-284-7489 | |
Eric Blaine Baltodano, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13215 Grant Rd Ste 900, Cypress, TX 77429 Phone: 832-220-9211 Fax: 832-610-2354 | |
Taylor Williams, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26084 Northwest Fwy Ste 140, Cypress, TX 77429 Phone: 832-349-1168 Fax: 832-602-2652 | |
Stacy Hilty, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27700 Northwest Fwy Ste 130, Cypress, TX 77433 Phone: 346-231-6900 | |
Mr. Kamal Kishore Korkonda, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18747 Mueschke Rd Ste D, Cypress, TX 77433 Phone: 281-547-8563 Fax: 281-407-7536 | |
Jayme Rae Pack, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13215 Grant Rd Ste 900, Cypress, TX 77429 Phone: 832-220-9211 Fax: 832-610-2354 | |
Mr. Yusuf Haroon Ezzy, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16907 Himley Dr, Cypress, TX 77433 Phone: 832-776-9375 |