| Dr Timothy M Theriault, PT | |
|
17051 Dallas Pkwy Ste 430, Addison, TX 75001-7111 | |
| (469) 248-3962 | |
| (469) 206-0697 |
| Full Name | Dr Timothy M Theriault |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 17051 Dallas Pkwy Ste 430, Addison, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336343490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1069417 (Texas) | Primary |
| 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 |
| Provider Name | Vista Jv Partners Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1326753377 PECOS PAC ID: 3274998224 Enrollment ID: O20230427000944 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy M Theriault, PT 242 Stanley Falls Dr, Anna, TX 75409-5049 Ph: (469) 487-9890 | Dr Timothy M Theriault, PT 17051 Dallas Pkwy Ste 430, Addison, TX 75001-7111 Ph: (469) 248-3962 |
Jessica Alvarado Barrios, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 214-575-2999 | |
Nupur Maheshwari, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14665 Midway Rd Ste 110, Addison, TX 75001 Phone: 972-382-9732 | |
Bruno Martins Frazao, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14665 Midway Rd Ste 110, Addison, TX 75001 Phone: 972-382-9992 | |
Holland Kitten, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 806-577-2878 | |
Robert David Stewart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17051 Dallas Pkwy, Suite 450, Addison, TX 75001 Phone: 469-416-5250 Fax: 469-416-5260 | |
Laura Chiu, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15800 Midway Rd, Addison, TX 75001 Phone: 615-778-4066 Fax: 615-778-9114 | |
Sally Sue Mallory, P.T; ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 Bobbin Ln, Addison, TX 75001 Phone: 214-763-9173 |