| Tien Van Phan, PT, DPT | |
| 
					400 W Arbrook Blvd Ste 151, Arlington, TX 76014-3181  | |
| (817) 472-8383 | |
| (817) 472-8386 | 
| Full Name | Tien Van Phan | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 400 W Arbrook Blvd Ste 151, Arlington, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366708158 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 9641 (Arizona) | Primary | 
| 225100000X | Physical Therapist | 1235831 (Texas) | Secondary | 
| Provider Name | Endeavor Rehab Center Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1760506232 PECOS PAC ID: 6800989369 Enrollment ID: O20070829000910  | 
| Provider Name | Blacketer Enterprises, Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1295046050 PECOS PAC ID: 4981884905 Enrollment ID: O20110209000108  | 
| Provider Name | Powerback Rehabilitation Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1427454164 PECOS PAC ID: 2365359932 Enrollment ID: O20150529002032  | 
| Provider Name | Texas Luna Care Physical Therapy Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tien Van Phan, PT, DPT 6810 Big Bend Ln, Arlington, TX 76002-3510 Ph: (612) 349-9393  | Tien Van Phan, PT, DPT 400 W Arbrook Blvd Ste 151, Arlington, TX 76014-3181 Ph: (817) 472-8383  | 
Jennifer Duggins, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4101 W Arkansas Ln, Arlington, TX 76016 Phone: 877-407-3422 Fax: 877-407-4329  | |
Nellie Fisher, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 W Arbrook Blvd Ste 200, Arlington, TX 76015 Phone: 817-472-2200 Fax: 817-467-9021  | |
Dr. Zachary Allen Woods, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6049 W Interstate 20, Arlington, TX 76017 Phone: 817-483-1746  | |
Zachary Blankenship,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6033 W Interstate 20, Arlington, TX 76017 Phone: 817-483-1746  | |
Amy M Stephens-neher, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2340 W Interstate 20 Ste 218, Arlington, TX 76017 Phone: 682-238-3243 Fax: 817-549-0106  | |
Madison Cureton,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 5335 W Sublett Rd Ste 151, Arlington, TX 76017 Phone: 817-839-9150  | |
Ji Woo Hwang, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2310 W I 20 Ste 204, Arlington, TX 76017 Phone: 817-466-7276 Fax: 844-283-4950  |