Sean Christopher Masisado Bonilla, DPT | |
5601 Brodie Ln Ste 640, Sunset Valley, TX 78745-2551 | |
(512) 580-3055 | |
Not Available |
Full Name | Sean Christopher Masisado Bonilla |
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Gender | Male |
Speciality | Physical Therapist |
Location | 5601 Brodie Ln Ste 640, Sunset Valley, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295541613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1402218 (Texas) | Primary |
Provider Name | Ergonomic Rehabilitation Of Houston, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912994831 PECOS PAC ID: 8022921501 Enrollment ID: O20031111000106 |
Provider Name | Peak Physical Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1700271913 PECOS PAC ID: 0648583344 Enrollment ID: O20150724010198 |
Provider Name | Agilitas Usa Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20160425001328 |
Mailing Address | Practice Location Address |
---|---|
Sean Christopher Masisado Bonilla, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 497-0005 | Sean Christopher Masisado Bonilla, DPT 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745-2551 Ph: (512) 580-3055 |
Katherine Owens, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 560-164-0787 | |
Christopher Rhoades Harper Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 512-580-3055 Fax: 512-580-3056 | |
Purvi Neel Shah, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 512-580-3055 Fax: 512-580-3056 | |
Mr. Casey Paul Hamilton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 512-580-3055 Fax: 512-580-3056 | |
Mr. Pawel Jakub Kostulak, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 512-580-3055 Fax: 512-580-3056 | |
Cecilia Darilek, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 512-580-3055 Fax: 512-580-3056 |