| Powerback Rehabilitation | |
|
7801 N Richland Blvd, North Richland Hills, TX 76180-6415 | |
| (469) 609-9044 | |
| Not Available |
| Full Name | Powerback Rehabilitation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7801 N Richland Blvd, North Richland Hills, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427454164 | NPI | - | NPPES |
| Provider Name | Georgia G Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457567463 PECOS PAC ID: 6507841814 Enrollment ID: I20040621001951 |
| Provider Name | Kelly M Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215924204 PECOS PAC ID: 1557323920 Enrollment ID: I20041028000323 |
| Provider Name | Mary E Pace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245331966 PECOS PAC ID: 5496719957 Enrollment ID: I20041213000102 |
| Provider Name | Tarik Ibrahim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790449536 PECOS PAC ID: 7618921214 Enrollment ID: I20050307000544 |
| Provider Name | Matthew E Walk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346356078 PECOS PAC ID: 9830131721 Enrollment ID: I20050601001024 |
| Provider Name | Aman U Quadri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487769618 PECOS PAC ID: 2163443649 Enrollment ID: I20051212000837 |
| Provider Name | Catherine A Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578649158 PECOS PAC ID: 4880786490 Enrollment ID: I20070827000483 |
| Provider Name | Maribel Ontiveros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114129863 PECOS PAC ID: 3678668159 Enrollment ID: I20070927001104 |
| Provider Name | Tikisha Lavon Mallard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518080480 PECOS PAC ID: 3173604451 Enrollment ID: I20101118000497 |
| Provider Name | Michael E Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457440836 PECOS PAC ID: 7810185394 Enrollment ID: I20101228000456 |
| Provider Name | Alandra K Lancaster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518095207 PECOS PAC ID: 1658540034 Enrollment ID: I20110802000408 |
| Provider Name | Thomas J Hurley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508818840 PECOS PAC ID: 0648446443 Enrollment ID: I20111228000597 |
| Provider Name | Sammy P Deleon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083928519 PECOS PAC ID: 4880854884 Enrollment ID: I20120426000333 |
| Provider Name | Hayley L Belveal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316292220 PECOS PAC ID: 7012164809 Enrollment ID: I20120830000106 |
| Provider Name | Jill S Hoel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841250362 PECOS PAC ID: 6103851910 Enrollment ID: I20121004000012 |
| Provider Name | Venkatesh Sappidi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972856615 PECOS PAC ID: 4284885054 Enrollment ID: I20121105000380 |
| Provider Name | Patricia Isabel Noriega |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386684447 PECOS PAC ID: 9830344530 Enrollment ID: I20130304000123 |
| Provider Name | Patrick B Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902145279 PECOS PAC ID: 0244476778 Enrollment ID: I20130429000270 |
| Provider Name | Daisiree D Alejandro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902157845 PECOS PAC ID: 0941448500 Enrollment ID: I20130521000649 |
| Provider Name | Monique Hambric |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902122542 PECOS PAC ID: 8325288905 Enrollment ID: I20130702000214 |
| Provider Name | Carolyn R Sink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922090679 PECOS PAC ID: 0446223606 Enrollment ID: I20130709000223 |
| Provider Name | Guadalupe Hinojosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477990349 PECOS PAC ID: 6608010830 Enrollment ID: I20130910000281 |
| Provider Name | Christopher T Slininger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871925313 PECOS PAC ID: 8022244219 Enrollment ID: I20131118000892 |
| Provider Name | Alison N Geymer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174828164 PECOS PAC ID: 6406088491 Enrollment ID: I20140404001515 |
| Provider Name | Tien Van Phan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366708158 PECOS PAC ID: 6103080486 Enrollment ID: I20140820002402 |
| Provider Name | Brittany Lauren Douglas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760780878 PECOS PAC ID: 2163685751 Enrollment ID: I20141028002019 |
| Provider Name | Teresa M Poindexter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437107760 PECOS PAC ID: 0840284220 Enrollment ID: I20150210000698 |
| Provider Name | Leon Goudeau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568851723 PECOS PAC ID: 9234455205 Enrollment ID: I20150310001848 |
| Provider Name | Karolina Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689080095 PECOS PAC ID: 7517285760 Enrollment ID: I20150420000278 |
| Provider Name | Kimberly J Barton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346638111 PECOS PAC ID: 2466763776 Enrollment ID: I20150612000493 |
| Provider Name | Andrew Chartrain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316296031 PECOS PAC ID: 6103137369 Enrollment ID: I20150616000168 |
| Provider Name | Lysette Michelle Steed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679987523 PECOS PAC ID: 3678887239 Enrollment ID: I20150728003301 |
| Provider Name | Ellanie J Berba |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295941102 PECOS PAC ID: 9335459676 Enrollment ID: I20151117001014 |
| Provider Name | Page A Karsteter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023117504 PECOS PAC ID: 8123329885 Enrollment ID: I20151222001917 |
| Provider Name | Prezemyslaw M Buczek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588052682 PECOS PAC ID: 4688978950 Enrollment ID: I20160205002065 |
| Provider Name | Rachel C Nielsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609290204 PECOS PAC ID: 4385935899 Enrollment ID: I20160614000242 |
| Provider Name | Carmen Mcghee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376959155 PECOS PAC ID: 1153541008 Enrollment ID: I20160812001077 |
| Provider Name | Xiomara Nichelle Doster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982158093 PECOS PAC ID: 6507151545 Enrollment ID: I20160830000546 |
| Provider Name | Kaitlin Antonides |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760834352 PECOS PAC ID: 1557658663 Enrollment ID: I20160916001450 |
| Provider Name | Prachi V Chokshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568892065 PECOS PAC ID: 9830487149 Enrollment ID: I20161019000532 |
| Provider Name | Edward T Soldevilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326598988 PECOS PAC ID: 8628350063 Enrollment ID: I20170120000510 |
| Provider Name | Stephen Brett Holland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457707028 PECOS PAC ID: 4284917667 Enrollment ID: I20170208002887 |
| Provider Name | William L Maynard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780652529 PECOS PAC ID: 9234282864 Enrollment ID: I20170215002309 |
| Provider Name | Roni B Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558725325 PECOS PAC ID: 3870876964 Enrollment ID: I20170215002870 |
| Provider Name | Jason P George |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831638758 PECOS PAC ID: 5193000396 Enrollment ID: I20170331000277 |
| Provider Name | Richard J Mcguire |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346434222 PECOS PAC ID: 7315224649 Enrollment ID: I20170515001309 |
| Provider Name | Cynthia L Barfield |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801321096 PECOS PAC ID: 2860779196 Enrollment ID: I20170515001336 |
| Provider Name | Todd Akers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265969182 PECOS PAC ID: 5395013841 Enrollment ID: I20170626000176 |
| Provider Name | Chris Winkley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326401803 PECOS PAC ID: 2062781891 Enrollment ID: I20170710002351 |
| Provider Name | Ciera Maria Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376816272 PECOS PAC ID: 9537438106 Enrollment ID: I20170713001539 |
| Provider Name | Okon B Antia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811412471 PECOS PAC ID: 4688947468 Enrollment ID: I20170829004004 |
| Provider Name | Maria Cristina Jesurun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992252613 PECOS PAC ID: 0244512804 Enrollment ID: I20171103001480 |
| Provider Name | Fay Elaine Sommars |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275045890 PECOS PAC ID: 5496012429 Enrollment ID: I20171130000204 |
| Provider Name | Colleen R Ward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356854731 PECOS PAC ID: 9830456565 Enrollment ID: I20171205000720 |
| Provider Name | Allina Monica V Liamzon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710369574 PECOS PAC ID: 6204146814 Enrollment ID: I20171227000449 |
| Provider Name | Paige M Pabor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346757408 PECOS PAC ID: 2163782558 Enrollment ID: I20180202001237 |
| Provider Name | Alexandra Mccain Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194198473 PECOS PAC ID: 0941550479 Enrollment ID: I20180905000185 |
| Provider Name | Maya Joy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336665504 PECOS PAC ID: 2163774274 Enrollment ID: I20181017001851 |
| Provider Name | Kwesi E Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326324674 PECOS PAC ID: 2163775776 Enrollment ID: I20181030000170 |
| Provider Name | Earl Bridges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932681103 PECOS PAC ID: 1557615937 Enrollment ID: I20181121002455 |
| Provider Name | Kirsten A Trapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710443023 PECOS PAC ID: 3779825278 Enrollment ID: I20190502002423 |
| Provider Name | Brittani Auzenne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134788755 PECOS PAC ID: 1951636562 Enrollment ID: I20190718000086 |
| Provider Name | Sara Mireles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992366157 PECOS PAC ID: 6406185685 Enrollment ID: I20190913000134 |
| Provider Name | Kelley H Frick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427468412 PECOS PAC ID: 0143550137 Enrollment ID: I20190917003326 |
| Provider Name | Bentley O'quinn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902455306 PECOS PAC ID: 5193056869 Enrollment ID: I20191010000572 |
| Provider Name | Tulasi A Dhulipalla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538557632 PECOS PAC ID: 7618209867 Enrollment ID: I20191022000251 |
| Provider Name | Rachel Lisa Delossantos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023670155 PECOS PAC ID: 7315279445 Enrollment ID: I20191023000461 |
| Provider Name | Catherine U Jerrells |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073661435 PECOS PAC ID: 3173957404 Enrollment ID: I20191219002143 |
| Provider Name | Matthew Wesley Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730738576 PECOS PAC ID: 0648605964 Enrollment ID: I20200115000546 |
| Provider Name | Sarah R New |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952831091 PECOS PAC ID: 6305271198 Enrollment ID: I20200124002231 |
| Provider Name | Andrea White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508412180 PECOS PAC ID: 6901231620 Enrollment ID: I20200127000555 |
| Provider Name | Michael D Cole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477708840 PECOS PAC ID: 9537595517 Enrollment ID: I20200211001959 |
| Provider Name | Eric Matthew Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013554500 PECOS PAC ID: 8426486382 Enrollment ID: I20200309000796 |
| Provider Name | Belia Mcnabb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477979128 PECOS PAC ID: 5092097659 Enrollment ID: I20200317000596 |
| Provider Name | Julius Cesar M Fernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659898690 PECOS PAC ID: 4981032950 Enrollment ID: I20200325002902 |
| Provider Name | Hailey Scholz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346745163 PECOS PAC ID: 7416386933 Enrollment ID: I20200405000125 |
| Provider Name | Parimal Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326671066 PECOS PAC ID: 9638508005 Enrollment ID: I20200406002333 |
| Provider Name | Laura Morelza Zoch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386269330 PECOS PAC ID: 4789006669 Enrollment ID: I20200623001087 |
| Provider Name | Kelly L Sullivan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780975847 PECOS PAC ID: 3577980770 Enrollment ID: I20200902002705 |
| Provider Name | Madison Taylor Chappell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821600040 PECOS PAC ID: 3375961964 Enrollment ID: I20200914002338 |
| Provider Name | Rebecca T Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972097020 PECOS PAC ID: 4688093529 Enrollment ID: I20200928000348 |
| Provider Name | Kira Marie Zevan Lunbery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700323201 PECOS PAC ID: 4385064641 Enrollment ID: I20201026003217 |
| Provider Name | Mansi J Desai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841746492 PECOS PAC ID: 8628488863 Enrollment ID: I20201029001713 |
| Provider Name | Lee Ann Krystle R Chan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104472729 PECOS PAC ID: 5991116832 Enrollment ID: I20201124002149 |
| Provider Name | Thomas Earl Hampton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598153397 PECOS PAC ID: 9931510799 Enrollment ID: I20201130001528 |
| Provider Name | Ali Sayed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154935138 PECOS PAC ID: 5597176305 Enrollment ID: I20201201000132 |
| Provider Name | Angeline V Danan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861091084 PECOS PAC ID: 4385057488 Enrollment ID: I20210115000532 |
| Provider Name | Jennifer Zimmerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588253876 PECOS PAC ID: 3971916727 Enrollment ID: I20210115001142 |
| Provider Name | Brianna N West |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720687379 PECOS PAC ID: 8729493473 Enrollment ID: I20210211000020 |
| Provider Name | Angela Grayce Treadway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053574400 PECOS PAC ID: 8022143262 Enrollment ID: I20210301001273 |
| Provider Name | Abanoub Ehab Khalil Zarea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952986978 PECOS PAC ID: 9931515939 Enrollment ID: I20210316002065 |
| Provider Name | Navinchandra K Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053418699 PECOS PAC ID: 4183031123 Enrollment ID: I20210318001742 |
| Provider Name | Wendy Leigh Welch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124507710 PECOS PAC ID: 9133537640 Enrollment ID: I20210422001260 |
| Provider Name | Trang H Nguyen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134705841 PECOS PAC ID: 3971911157 Enrollment ID: I20210428001639 |
| Provider Name | Diana Torres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982283693 PECOS PAC ID: 0345659652 Enrollment ID: I20210517000933 |
| Provider Name | Qi Sun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164085775 PECOS PAC ID: 1153720214 Enrollment ID: I20210524000991 |
| Provider Name | Winston Brooks Barr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255869830 PECOS PAC ID: 3375942147 Enrollment ID: I20210527000708 |
| Provider Name | Patrick J Machado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336231802 PECOS PAC ID: 8820169774 Enrollment ID: I20210702000810 |
| Provider Name | Theodora Marie Dombkowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831766765 PECOS PAC ID: 2860894755 Enrollment ID: I20210715000031 |
| Provider Name | Kevin Dang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275934838 PECOS PAC ID: 7315340510 Enrollment ID: I20210726002730 |
| Provider Name | Kristen Munoz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467056283 PECOS PAC ID: 4587069067 Enrollment ID: I20210820002759 |
| Provider Name | Jennifer Meeting |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740413640 PECOS PAC ID: 3072653872 Enrollment ID: I20210824001853 |
| Provider Name | Kim Elaine Henderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144656877 PECOS PAC ID: 6608271606 Enrollment ID: I20210827002593 |
| Provider Name | Divina R Padilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679249221 PECOS PAC ID: 4284030727 Enrollment ID: I20210908001903 |
| Provider Name | Alyssa Nicole Rios |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023786175 PECOS PAC ID: 3274939632 Enrollment ID: I20210909002709 |
| Provider Name | Roshini Nwoko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396384772 PECOS PAC ID: 1658777925 Enrollment ID: I20210913000372 |
| Provider Name | Jarred Anthony Nauls |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609457878 PECOS PAC ID: 3779992789 Enrollment ID: I20210920000782 |
| Provider Name | Edgard Jose Cheng |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144781840 PECOS PAC ID: 6507263332 Enrollment ID: I20210922000066 |
| Provider Name | Diamond Danielle Lockhart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043887086 PECOS PAC ID: 6800293580 Enrollment ID: I20210922002717 |
| Provider Name | James Harvey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346811916 PECOS PAC ID: 9537566021 Enrollment ID: I20210927001233 |
| Provider Name | Taylor Clark Baldwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851707467 PECOS PAC ID: 7618374083 Enrollment ID: I20210928001237 |
| Provider Name | Jason Ramos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447922836 PECOS PAC ID: 3678961653 Enrollment ID: I20211025000659 |
| Provider Name | Jonathan Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457701450 PECOS PAC ID: 3971991928 Enrollment ID: I20211025003131 |
| Provider Name | Emma Nicole Marshall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770246365 PECOS PAC ID: 0446649032 Enrollment ID: I20211122000535 |
| Provider Name | Colin Wiest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720578396 PECOS PAC ID: 3678820925 Enrollment ID: I20211123002102 |
| Provider Name | Terry Lloyd Bell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053078220 PECOS PAC ID: 0446640635 Enrollment ID: I20211202000078 |
| Provider Name | Dominic Cho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316612450 PECOS PAC ID: 2860883089 Enrollment ID: I20211223001286 |
| Provider Name | Kathryn Alaine Scaling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952656290 PECOS PAC ID: 9335530401 Enrollment ID: I20211228000672 |
| Provider Name | Bernadine D Asias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538713052 PECOS PAC ID: 0648661637 Enrollment ID: I20211230000816 |
| Provider Name | Danny R Reyna |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073898003 PECOS PAC ID: 9638561954 Enrollment ID: I20220119001100 |
| Provider Name | Mini Thottathil Jose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932618907 PECOS PAC ID: 8123410966 Enrollment ID: I20220127002962 |
| Provider Name | Nitin Sood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841778370 PECOS PAC ID: 2567855125 Enrollment ID: I20220203002373 |
| Provider Name | Meghna S Purao |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780830463 PECOS PAC ID: 3577957265 Enrollment ID: I20220223000227 |
| Provider Name | Mark A Denesha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447626965 PECOS PAC ID: 9032429089 Enrollment ID: I20220228000667 |
| Provider Name | Casey Pagel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417619495 PECOS PAC ID: 8325433295 Enrollment ID: I20220312000198 |
| Provider Name | Emily Offill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801064324 PECOS PAC ID: 1850786591 Enrollment ID: I20220316002821 |
| Provider Name | Heather Sammons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306513395 PECOS PAC ID: 4486611365 Enrollment ID: I20220322002673 |
| Provider Name | Ayomide Fasalojo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033630561 PECOS PAC ID: 5294120333 Enrollment ID: I20220328000861 |
| Provider Name | Amy Elaine Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164606661 PECOS PAC ID: 2163818584 Enrollment ID: I20220411001618 |
| Provider Name | Rachel Wu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760004972 PECOS PAC ID: 8325435357 Enrollment ID: I20220421002281 |
| Provider Name | Joel Abraham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306582028 PECOS PAC ID: 2365829751 Enrollment ID: I20220525000897 |
| Provider Name | Mark Anthony Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437894409 PECOS PAC ID: 5799163119 Enrollment ID: I20220525002387 |
| Provider Name | Kimberly A Musa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821072711 PECOS PAC ID: 3072993526 Enrollment ID: I20220630001920 |
| Provider Name | Chelsea A O'boyle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104565902 PECOS PAC ID: 2466832787 Enrollment ID: I20220705001599 |
| Provider Name | Gail Cerruti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386659720 PECOS PAC ID: 8527064674 Enrollment ID: I20220712000260 |
| Provider Name | Charles Okpoko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770215055 PECOS PAC ID: 0345621918 Enrollment ID: I20220714001026 |
| Provider Name | Kaitlin Ingrid O'halloran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437729126 PECOS PAC ID: 0042691123 Enrollment ID: I20220720003369 |
| Provider Name | Cierra Bush |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972071744 PECOS PAC ID: 1759621907 Enrollment ID: I20220726000029 |
| Provider Name | Allan Joseph Valdez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780296228 PECOS PAC ID: 4880076595 Enrollment ID: I20220727003350 |
| Provider Name | Arthur Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841675659 PECOS PAC ID: 9133436926 Enrollment ID: I20220802000073 |
| Provider Name | Sarah Esguerra Padlan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447635040 PECOS PAC ID: 7517349848 Enrollment ID: I20220803002876 |
| Provider Name | Kester John Ogala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669634291 PECOS PAC ID: 3678955820 Enrollment ID: I20220804000209 |
| Provider Name | Nancy Elizabeth Sulak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760116073 PECOS PAC ID: 9739563487 Enrollment ID: I20220830003775 |
| Provider Name | Wilfredo Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457509986 PECOS PAC ID: 1850775388 Enrollment ID: I20220901002729 |
| Provider Name | Arlis Mcmullan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013641745 PECOS PAC ID: 0547644775 Enrollment ID: I20220907000912 |
| Provider Name | Pooja Bhakta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568061216 PECOS PAC ID: 9032529417 Enrollment ID: I20220913000362 |
| Provider Name | Jasmine Mohammad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972223071 PECOS PAC ID: 9830574276 Enrollment ID: I20220921000545 |
| Provider Name | Antonio F Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619614450 PECOS PAC ID: 1456736685 Enrollment ID: I20220923001116 |
| Provider Name | Jessica Printz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700334463 PECOS PAC ID: 9931510153 Enrollment ID: I20220929000521 |
| Provider Name | Janice Mary Nkrumah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326642190 PECOS PAC ID: 2769868363 Enrollment ID: I20221005002301 |
| Provider Name | Katie Lorrainne Tipps |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033690359 PECOS PAC ID: 4082080247 Enrollment ID: I20221013002045 |
| Provider Name | Marlene Granja Betancourt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124746268 PECOS PAC ID: 8820464886 Enrollment ID: I20221014003056 |
| Provider Name | Ferdinand Caparas Javier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881356608 PECOS PAC ID: 0840666350 Enrollment ID: I20221024002243 |
| Provider Name | Saffron Theiss |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609351634 PECOS PAC ID: 6901273358 Enrollment ID: I20221027003159 |
| Provider Name | Allyza Kim Silverio Das |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548994700 PECOS PAC ID: 1052788056 Enrollment ID: I20221103003196 |
| Provider Name | David Clay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518674282 PECOS PAC ID: 9638547193 Enrollment ID: I20221115001843 |
| Provider Name | Stacy Lind Daniels |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649998253 PECOS PAC ID: 8729456876 Enrollment ID: I20221121001288 |
| Provider Name | Mike L Anthony |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437763786 PECOS PAC ID: 8729406236 Enrollment ID: I20221130000268 |
| Provider Name | Jennifer Nicole Adams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801503412 PECOS PAC ID: 5799153425 Enrollment ID: I20221130000610 |
| Provider Name | Jasmine Germain |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770991846 PECOS PAC ID: 2567830144 Enrollment ID: I20221202000309 |
| Provider Name | Christopher Yan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851817571 PECOS PAC ID: 9638441538 Enrollment ID: I20221202000927 |
| Provider Name | Gbemisola Kikelomo Odeseye |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154768943 PECOS PAC ID: 0446629075 Enrollment ID: I20221202002884 |
| Provider Name | Lindsay Rebecca Larkin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184944647 PECOS PAC ID: 9830568203 Enrollment ID: I20221206002662 |
| Provider Name | Starlita R Mckinzie |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780332593 PECOS PAC ID: 0345619482 Enrollment ID: I20221212000954 |
| Provider Name | Taylor Marie Kotzo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578287553 PECOS PAC ID: 9830568997 Enrollment ID: I20221212002048 |
| Provider Name | Christopher Dickerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003164831 PECOS PAC ID: 0244482453 Enrollment ID: I20221230000535 |
| Provider Name | Sarah Mendeke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467163709 PECOS PAC ID: 3971973074 Enrollment ID: I20230106000857 |
| Provider Name | Anjali Kumari |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134369309 PECOS PAC ID: 1557732534 Enrollment ID: I20230131000390 |
| Provider Name | Hayley Makatche |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619302049 PECOS PAC ID: 7810123247 Enrollment ID: I20230131000426 |
| Provider Name | Elizabeth Arenas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417388513 PECOS PAC ID: 6204208721 Enrollment ID: I20230209002949 |
| Provider Name | Suzanne Joy Mcgaha |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487133260 PECOS PAC ID: 3971975392 Enrollment ID: I20230214000069 |
| Provider Name | Adrian Lores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588033732 PECOS PAC ID: 5193026102 Enrollment ID: I20230219000016 |
| Provider Name | Joshua Ghavidel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477803310 PECOS PAC ID: 9335432913 Enrollment ID: I20230220001235 |
| Provider Name | Christian Pastrano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609572940 PECOS PAC ID: 3072986868 Enrollment ID: I20230224002659 |
| Provider Name | Amanda L Dubose |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184939449 PECOS PAC ID: 5698148997 Enrollment ID: I20230308000383 |
| Provider Name | Corey Godino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487360467 PECOS PAC ID: 2567835788 Enrollment ID: I20230308001931 |
| Provider Name | Alexandria Nicole Gulley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871204552 PECOS PAC ID: 3375916489 Enrollment ID: I20230309002931 |
| Provider Name | Kinnari K Prajapati |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689998155 PECOS PAC ID: 8022132539 Enrollment ID: I20230403002577 |
| Provider Name | Sean Joseph Corjay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346947132 PECOS PAC ID: 8325413370 Enrollment ID: I20230405001912 |
| Provider Name | Jesstin Abraham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710644125 PECOS PAC ID: 2567837222 Enrollment ID: I20230411001304 |
| Provider Name | Mira Ecila Villamarzo Castillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720567985 PECOS PAC ID: 9537524897 Enrollment ID: I20230420002867 |
| Provider Name | Bre'anna Valenzuela |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790487676 PECOS PAC ID: 4486019692 Enrollment ID: I20230421002618 |
| Provider Name | Christian Ibe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396430633 PECOS PAC ID: 4082079090 Enrollment ID: I20230426002647 |
| Provider Name | Melissa Marie Villalon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932805835 PECOS PAC ID: 2668837063 Enrollment ID: I20230508000205 |
| Provider Name | Jason Pantig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104517374 PECOS PAC ID: 8426415829 Enrollment ID: I20230530002537 |
| Provider Name | Anna Kunkel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407109135 PECOS PAC ID: 8022475763 Enrollment ID: I20230612000949 |
| Provider Name | Kierra Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609354422 PECOS PAC ID: 8729446570 Enrollment ID: I20230626003641 |
| Provider Name | Lucas Farrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508558982 PECOS PAC ID: 6204295652 Enrollment ID: I20230704000375 |
| Provider Name | Shannon Leigh Newman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477986636 PECOS PAC ID: 3971739517 Enrollment ID: I20230712002855 |
| Provider Name | Amber L Terry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003530304 PECOS PAC ID: 5294195053 Enrollment ID: I20230712002976 |
| Provider Name | Eric Manalansan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881766178 PECOS PAC ID: 5193185239 Enrollment ID: I20230720001553 |
| Provider Name | Thelma E Dangana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609468008 PECOS PAC ID: 4385005701 Enrollment ID: I20230802000904 |
| Provider Name | Prachi Taklikar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205292976 PECOS PAC ID: 2769844513 Enrollment ID: I20230811000006 |
| Provider Name | Jacqueline K Cash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669464491 PECOS PAC ID: 1658300041 Enrollment ID: I20230811000325 |
| Provider Name | Philip Pt Van Dyke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629522578 PECOS PAC ID: 3476841305 Enrollment ID: I20230913003105 |
| Provider Name | Erika Firebaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073037511 PECOS PAC ID: 7810269297 Enrollment ID: I20231007000401 |
| Provider Name | Lauren Pradilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730581752 PECOS PAC ID: 6204257090 Enrollment ID: I20231011000663 |
| Provider Name | Rose Pham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164563904 PECOS PAC ID: 5496073603 Enrollment ID: I20231018000450 |
| Provider Name | Larissa J Ellis Duck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245542141 PECOS PAC ID: 2163878687 Enrollment ID: I20231019001739 |
| Provider Name | Arisa Gubar Takagi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902560808 PECOS PAC ID: 6901252485 Enrollment ID: I20231020000777 |
| Provider Name | Krizia Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093133373 PECOS PAC ID: 0042666406 Enrollment ID: I20231023000291 |
| Provider Name | Surya Buddhi Manmadhudu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548915598 PECOS PAC ID: 2860848918 Enrollment ID: I20231025001677 |
| Provider Name | Lea Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225241268 PECOS PAC ID: 9234585084 Enrollment ID: I20231031000071 |
| Provider Name | Amy Allen Bednar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891003760 PECOS PAC ID: 5698121390 Enrollment ID: I20231101002533 |
| Provider Name | Dillon R. Jeremy Bomer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366735961 PECOS PAC ID: 3678920212 Enrollment ID: I20231103001468 |
| Provider Name | Zakaria Nadif |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720704414 PECOS PAC ID: 2062889165 Enrollment ID: I20231107000909 |
| Provider Name | Monique Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205556776 PECOS PAC ID: 7416333943 Enrollment ID: I20231107002645 |
| Provider Name | Rahul R Handa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740542091 PECOS PAC ID: 2860708203 Enrollment ID: I20231117001934 |
| Provider Name | John Wempe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720491582 PECOS PAC ID: 8820322795 Enrollment ID: I20231118000516 |
| Provider Name | Achim Deon Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134838865 PECOS PAC ID: 7012365786 Enrollment ID: I20231120001293 |
| Provider Name | Joseph Terry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689184046 PECOS PAC ID: 5193082956 Enrollment ID: I20231129001231 |
| Provider Name | Jennifer Leal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174743983 PECOS PAC ID: 5092163154 Enrollment ID: I20231129003372 |
| Provider Name | Yassamin Haririnia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154575447 PECOS PAC ID: 5193869220 Enrollment ID: I20231205001717 |
| Provider Name | Pamela Pallera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528834884 PECOS PAC ID: 7012366685 Enrollment ID: I20231207001927 |
| Provider Name | Tajon Dunn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992571400 PECOS PAC ID: 2163871534 Enrollment ID: I20231211001196 |
| Provider Name | Keri Kirkham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669893541 PECOS PAC ID: 3971953886 Enrollment ID: I20231219000496 |
| Provider Name | Catherine M Childs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487764684 PECOS PAC ID: 7113180027 Enrollment ID: I20231228001781 |
| Provider Name | Ruei An Lin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720856347 PECOS PAC ID: 3476904129 Enrollment ID: I20240108003819 |
| Provider Name | Joshua Bigting |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316553597 PECOS PAC ID: 2961822440 Enrollment ID: I20240122000626 |
| Provider Name | Dennis Van |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366163891 PECOS PAC ID: 8921450198 Enrollment ID: I20240123005003 |
| Provider Name | Madison Caroline Lamaster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407454630 PECOS PAC ID: 5496108300 Enrollment ID: I20240126003017 |
| Provider Name | David Scott Bickelhaupt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184024200 PECOS PAC ID: 4284680695 Enrollment ID: I20240129001479 |
| Provider Name | Ashley Dawn Perry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851153878 PECOS PAC ID: 3779926464 Enrollment ID: I20240209001312 |
| Provider Name | Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770345027 PECOS PAC ID: 6901249523 Enrollment ID: I20240209002928 |
| Provider Name | Molly Whitted |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932650355 PECOS PAC ID: 1759724123 Enrollment ID: I20240213002592 |
| Provider Name | Cory Harrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477163681 PECOS PAC ID: 9335569045 Enrollment ID: I20240214002564 |
| Provider Name | Joanna Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245626852 PECOS PAC ID: 3375987183 Enrollment ID: I20240220004590 |
| Provider Name | Mason Pt Gist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912387960 PECOS PAC ID: 7416391040 Enrollment ID: I20240222000065 |
| Provider Name | Colin Matthew Nordstrom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831310242 PECOS PAC ID: 7315382769 Enrollment ID: I20240226002168 |
| Provider Name | Susan Kay Gotaas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881175651 PECOS PAC ID: 1456796226 Enrollment ID: I20240302000334 |
| Provider Name | Hesoo Byun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801211792 PECOS PAC ID: 9739524331 Enrollment ID: I20240305000720 |
| Provider Name | Zoe Kavanagh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457798472 PECOS PAC ID: 9830535426 Enrollment ID: I20240305004410 |
| Provider Name | Carlos Sanmiguel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063042232 PECOS PAC ID: 5799121109 Enrollment ID: I20240307003190 |
| Provider Name | Chioma Olise-ali |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730813536 PECOS PAC ID: 4183060320 Enrollment ID: I20240311003211 |
| Provider Name | Mahtab Koochaki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720545262 PECOS PAC ID: 7810333945 Enrollment ID: I20240312002695 |
| Provider Name | Melissa Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902421399 PECOS PAC ID: 4587000518 Enrollment ID: I20240312003007 |
| Mailing Address | Practice Location Address |
|---|---|
| Powerback Rehabilitation 101 E State St, Kennett Square, PA 19348-3109 Ph: (800) 728-8808 | Powerback Rehabilitation 7801 N Richland Blvd, North Richland Hills, TX 76180-6415 Ph: (469) 609-9044 |
Cherlynn Renee Townsend, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5060 Davis Blvd, North Richland Hills, TX 76180 Phone: 817-498-8585 | |
Marjorie Weaver Foreman, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8251 Bedford Euless Rd, Ste 210, North Richland Hills, TX 76180 Phone: 817-656-7827 Fax: 817-485-0546 | |
Caitlin Nuest, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8700 N Tarrant Pkwy Ste 113, North Richland Hills, TX 76182 Phone: 817-498-8344 Fax: 817-498-8702 | |
Movement Lab Sports Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7601 Boulevard 26 Ste 121, North Richland Hills, TX 76180 Phone: 817-264-6868 | |
Jana Hogg Mulligan, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5060 Davis Blvd, North Richland Hills, TX 76180 Phone: 817-498-8585 Fax: 817-498-8582 | |
Mr. John Wesley Troup, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8624 Kensington Ln, North Richland Hills, TX 76180 Phone: 817-503-0048 | |
Rejoy Varghese, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8401 Boulevard 26 Ste 14, North Richland Hills, TX 76180 Phone: 817-898-8444 |