| Shawn Ray Gillham, PT | |
|
400 Oaklawn Ave, Corsicana, TX 75110-2937 | |
| (903) 872-5925 | |
| Not Available |
| Full Name | Shawn Ray Gillham |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 400 Oaklawn Ave, Corsicana, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164464145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1072882 (Texas) | Primary |
| Provider Name | Lp Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861964231 PECOS PAC ID: 9234477837 Enrollment ID: O20190206001166 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Ray Gillham, PT Po Box 631, Corsicana, TX 75151-0631 Ph: (903) 872-5925 | Shawn Ray Gillham, PT 400 Oaklawn Ave, Corsicana, TX 75110-2937 Ph: (903) 872-5925 |
Mark Coates, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1026 W 2nd Ave, Corsicana, TX 75110 Phone: 903-874-7433 Fax: 903-874-6295 | |
Demetria Reed, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 N 45th St Apt 1323, Corsicana, TX 75110 Phone: 314-662-2692 | |
Rural Rehab Providers, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1026 W 2nd Ave, Corsicana, TX 75110 Phone: 903-874-7433 Fax: 903-389-7631 | |
Dennisse Romero Pena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W 3rd Ave Ste 6, Corsicana, TX 75110 Phone: 903-872-5925 | |
Creative Kids Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 3112 W State Highway 22, Corsicana, TX 75110 Phone: 903-641-5186 | |
Amanda Cress, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1026 W 2nd Ave, Corsicana, TX 75110 Phone: 903-874-7433 | |
Lisa Marie Eastman Authier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3002 W 2nd Ave, Corsicana, TX 75110 Phone: 903-875-8533 |