| Summit Peak Physical Therapy Pc | |
|
2461 Robinson Rd, Grand Prairie, TX 75051-3852 | |
| (972) 606-4858 | |
| (972) 606-1637 |
| Full Name | Summit Peak Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2461 Robinson Rd, Grand Prairie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811038029 | NPI | - | NPPES |
| 00Y947 | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 660120001 (Texas) | Primary |
| Provider Name | Jason P Moses |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730391798 PECOS PAC ID: 7719066893 Enrollment ID: I20080430000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Peak Physical Therapy Pc 166 Ranchway Dr, Burleson, TX 76028-7864 Ph: (817) 426-5439 | Summit Peak Physical Therapy Pc 2461 Robinson Rd, Grand Prairie, TX 75051-3852 Ph: (972) 606-4858 |
Devic Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7220 Vienta Pt, Grand Prairie, TX 75054 Phone: 817-881-9677 | |
Farrah E Smith, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3824 S Carrier Pkwy, Suite 470, Grand Prairie, TX 75052 Phone: 972-262-9972 Fax: 972-262-9986 | |
Holly Sophia Martinez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 397 Armed Forces Dr Bldg 8300, Grand Prairie, TX 75051 Phone: 512-782-5001 | |
Alyssa Nicole Rios, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2360 W Camp Wisdom Rd Ste 140, Grand Prairie, TX 75052 Phone: 469-460-6683 | |
Mrs. Edolo O Azenabor, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 532 Salisbury Dr, Grand Prairie, TX 75052 Phone: 214-447-7530 Fax: 214-447-7529 | |
Dr. Deterriyon Robinson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3055 Bardin Rd Ste 200, Grand Prairie, TX 75052 Phone: 972-522-2200 | |
Dr. Joel A Terjak, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3055 Bardin Rd Ste 220, Grand Prairie, TX 75052 Phone: 972-522-2200 |