| Vista Jv Partners Llc | |
|
6060 Rocky Point Trl Ste 100 Lake Worth TX 76135-2448 | |
| (469) 676-2806 | |
| Not Available |
| Full Name | Vista Jv Partners Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 6060 Rocky Point Trl Ste 100, Lake Worth, Texas |
| Authorized Official Name and Position | Robert Pace (OWNER, COO) |
| Authorized Official Contact | 2138041712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Jv Partners Llc 2600 Dallas Pkwy Ste 290 Frisco TX 75034-7493 Ph: (945) 260-0010 | Vista Jv Partners Llc 6060 Rocky Point Trl Ste 100 Lake Worth TX 76135-2448 Ph: (469) 676-2806 |
| NPI Number | 1326753377 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 10/16/2023 |
| Medicare PECOS PAC ID | 3274998224 |
|---|---|
| Medicare Enrollment ID | O20230427000944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326753377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Robert J Marwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982691036 PECOS PAC ID: 2062493497 Enrollment ID: I20040601000312 |
| Provider Name | Roger Ken Setliff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497806657 PECOS PAC ID: 8527047737 Enrollment ID: I20040720000149 |
| Provider Name | Kelly Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215924204 PECOS PAC ID: 1557323920 Enrollment ID: I20041028000323 |
| Provider Name | Jordan Benners |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346250388 PECOS PAC ID: 1759392343 Enrollment ID: I20060510000467 |
| Provider Name | Kristin M Duckworth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104845221 PECOS PAC ID: 8123124484 Enrollment ID: I20070502000431 |
| Provider Name | Alan D Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588651640 PECOS PAC ID: 5092787564 Enrollment ID: I20081231000068 |
| Provider Name | Teresa M Ambrosia Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477722528 PECOS PAC ID: 4486718350 Enrollment ID: I20090122000159 |
| Provider Name | Michael G Massenburg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740428226 PECOS PAC ID: 0547326290 Enrollment ID: I20090304000300 |
| Provider Name | Jana H Mulligan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114103165 PECOS PAC ID: 7113043407 Enrollment ID: I20100923001061 |
| Provider Name | Tracy Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740277706 PECOS PAC ID: 0244428522 Enrollment ID: I20101230000997 |
| Provider Name | Ted F Kern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629065594 PECOS PAC ID: 8022099985 Enrollment ID: I20110603000448 |
| Provider Name | Adam Mark Blumberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740396357 PECOS PAC ID: 1254518418 Enrollment ID: I20110615000855 |
| Provider Name | Jake Spivey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023006657 PECOS PAC ID: 8628237070 Enrollment ID: I20120305000627 |
| Provider Name | Michael G Middlebrooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558627448 PECOS PAC ID: 0547416760 Enrollment ID: I20120803000283 |
| Provider Name | Ian W Mora |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124306584 PECOS PAC ID: 5991972200 Enrollment ID: I20130627000513 |
| Provider Name | Christopher L Collins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790117158 PECOS PAC ID: 4789819046 Enrollment ID: I20131023000771 |
| Provider Name | Megan Elizabeth Mccormick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952715310 PECOS PAC ID: 2860610102 Enrollment ID: I20140827002114 |
| Provider Name | Mark Tuggle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578965869 PECOS PAC ID: 6507088879 Enrollment ID: I20141121000551 |
| Provider Name | Ericka Mcniel Krenek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396144572 PECOS PAC ID: 0749503977 Enrollment ID: I20141219001110 |
| Provider Name | John Hart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679909063 PECOS PAC ID: 1052634920 Enrollment ID: I20141229001585 |
| Provider Name | Paul B Sicard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588773246 PECOS PAC ID: 3375861776 Enrollment ID: I20150415001353 |
| Provider Name | Hannah L Koeijmans Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780069781 PECOS PAC ID: 3678889615 Enrollment ID: I20150904001721 |
| Provider Name | Kathlyn Sloan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023402468 PECOS PAC ID: 6305154675 Enrollment ID: I20151006002410 |
| Provider Name | Tim William Wrenholt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528407871 PECOS PAC ID: 8325272602 Enrollment ID: I20151210001161 |
| Provider Name | Lauren Ruhnke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619334505 PECOS PAC ID: 7214234707 Enrollment ID: I20160329000363 |
| Provider Name | Stephen Louis Rieder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407204779 PECOS PAC ID: 5294026589 Enrollment ID: I20160616000929 |
| Provider Name | Robbilyn Jeter Hardage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740491950 PECOS PAC ID: 5496042111 Enrollment ID: I20160923001405 |
| Provider Name | Bobby Lynn Curtis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518304500 PECOS PAC ID: 5799915013 Enrollment ID: I20170224001541 |
| Provider Name | Megan Helak Tehan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093253064 PECOS PAC ID: 9133403777 Enrollment ID: I20170228000611 |
| Provider Name | Ciera Maria Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376816272 PECOS PAC ID: 9537438106 Enrollment ID: I20170713001539 |
| Provider Name | Richard Miles Crawford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568806719 PECOS PAC ID: 2668745118 Enrollment ID: I20170905000914 |
| Provider Name | Jaci Danielson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528589496 PECOS PAC ID: 7911271853 Enrollment ID: I20170915002786 |
| Provider Name | Sarah Marie Yonts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023534781 PECOS PAC ID: 4082980800 Enrollment ID: I20171024000571 |
| Provider Name | Amanda L Folger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023536224 PECOS PAC ID: 8729345087 Enrollment ID: I20171122001354 |
| Provider Name | Heather Paige Rochelle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215444047 PECOS PAC ID: 9931469657 Enrollment ID: I20180129000284 |
| Provider Name | Joseph Gizzi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386774339 PECOS PAC ID: 0446358071 Enrollment ID: I20180531000225 |
| Provider Name | Tyler Seabourn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790278745 PECOS PAC ID: 1557618238 Enrollment ID: I20180726001578 |
| Provider Name | Eduzie Best Uduh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831597970 PECOS PAC ID: 3577887660 Enrollment ID: I20180822000140 |
| Provider Name | Chelsea Dawn Petska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316426117 PECOS PAC ID: 1052662467 Enrollment ID: I20180925000962 |
| Provider Name | Brad Alan Matlock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790265528 PECOS PAC ID: 3476804782 Enrollment ID: I20180926001552 |
| Provider Name | Earl Bridges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932681103 PECOS PAC ID: 1557615937 Enrollment ID: I20181121002455 |
| Provider Name | Chase M Duell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902377831 PECOS PAC ID: 4284973512 Enrollment ID: I20190305001550 |
| Provider Name | Amanda V Scampini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154887966 PECOS PAC ID: 6406196625 Enrollment ID: I20190325001964 |
| Provider Name | Leslie Heidelbaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497291975 PECOS PAC ID: 0042552325 Enrollment ID: I20190507002163 |
| Provider Name | Victoria Whitham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174180863 PECOS PAC ID: 2961739156 Enrollment ID: I20190812000234 |
| Provider Name | Dustin Matthew Gartner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811238470 PECOS PAC ID: 4981843331 Enrollment ID: I20200505000154 |
| Provider Name | Lauren E Porras |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801429295 PECOS PAC ID: 5294151379 Enrollment ID: I20200819003244 |
| Provider Name | Heather Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689282725 PECOS PAC ID: 3779909643 Enrollment ID: I20200824000015 |
| Provider Name | Joshua Skadeland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841817970 PECOS PAC ID: 6608296637 Enrollment ID: I20201013003056 |
| Provider Name | Garrett Beutel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154931871 PECOS PAC ID: 4183044829 Enrollment ID: I20201019000377 |
| Provider Name | Heather Danielle Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639520380 PECOS PAC ID: 0345536272 Enrollment ID: I20201130000936 |
| Provider Name | David Christopherson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619491347 PECOS PAC ID: 2466865068 Enrollment ID: I20201228001329 |
| Provider Name | Christian Andriano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265056055 PECOS PAC ID: 9133532278 Enrollment ID: I20210108000701 |
| Provider Name | Rachel Megan Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902424567 PECOS PAC ID: 1456764380 Enrollment ID: I20210113001388 |
| Provider Name | Jennifer Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326635442 PECOS PAC ID: 5799193926 Enrollment ID: I20210428000112 |
| Provider Name | Christopher Riley Ratliff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376132035 PECOS PAC ID: 3577972439 Enrollment ID: I20210505000360 |
| Provider Name | Kathleen Oliva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003466681 PECOS PAC ID: 9335470608 Enrollment ID: I20210617000603 |
| Provider Name | Parker Folliard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033784616 PECOS PAC ID: 2163824764 Enrollment ID: I20210706000094 |
| Provider Name | Charles Henry Porter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740512482 PECOS PAC ID: 6608278965 Enrollment ID: I20210708001842 |
| Provider Name | Eric Spencer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154753044 PECOS PAC ID: 4688984214 Enrollment ID: I20211119000140 |
| Provider Name | Kaitlin Hesse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225643844 PECOS PAC ID: 9032538376 Enrollment ID: I20220330002865 |
| Provider Name | Ryan Kahanu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962757245 PECOS PAC ID: 4082863220 Enrollment ID: I20220331000299 |
| Provider Name | Kierra Marie Patton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851995468 PECOS PAC ID: 4385024967 Enrollment ID: I20220629003086 |
| Provider Name | Sami Shahzad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225774250 PECOS PAC ID: 3072993534 Enrollment ID: I20220630002307 |
| Provider Name | Mary Felix |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023265550 PECOS PAC ID: 0446526974 Enrollment ID: I20220712001579 |
| Provider Name | Geoffrey Pratt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639808777 PECOS PAC ID: 5890176754 Enrollment ID: I20220723000157 |
| Provider Name | Isabel Gracia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346977881 PECOS PAC ID: 7618352907 Enrollment ID: I20220922003431 |
| Provider Name | Zachary Bergquist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205558723 PECOS PAC ID: 5193101202 Enrollment ID: I20220927002207 |
| Provider Name | Josiah Webb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689398885 PECOS PAC ID: 2062888951 Enrollment ID: I20221018001385 |
| Provider Name | Lisa J Hicklen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174258131 PECOS PAC ID: 5395112601 Enrollment ID: I20221029000025 |
| Provider Name | Pamela Nilsson Colquitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245954775 PECOS PAC ID: 9436526019 Enrollment ID: I20221111000053 |
| Provider Name | Vaishnavi Raghu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578286829 PECOS PAC ID: 7113395260 Enrollment ID: I20221121001157 |
| Provider Name | Lauren E Rosett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639888233 PECOS PAC ID: 1658740832 Enrollment ID: I20221209001397 |
| Provider Name | Samuel George Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093442881 PECOS PAC ID: 5092184820 Enrollment ID: I20221216001577 |
| Provider Name | Gerald Manown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972160968 PECOS PAC ID: 2062881766 Enrollment ID: I20221219001605 |
| Provider Name | Nicholas Sterling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689211229 PECOS PAC ID: 1153792965 Enrollment ID: I20230113000651 |
| Provider Name | Casey Russell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750726238 PECOS PAC ID: 5890920391 Enrollment ID: I20230117001089 |
| Provider Name | Zachary Kevin Dixon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740999424 PECOS PAC ID: 1456722941 Enrollment ID: I20230119002748 |
| Provider Name | Michael Lea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134409097 PECOS PAC ID: 8224287446 Enrollment ID: I20230228001617 |
| Provider Name | Alexandria Nicole Gulley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871204552 PECOS PAC ID: 3375916489 Enrollment ID: I20230309002931 |
| Provider Name | Sharae Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962072686 PECOS PAC ID: 8921472440 Enrollment ID: I20230324001284 |
| Provider Name | Katelyn P Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962937995 PECOS PAC ID: 7416224183 Enrollment ID: I20230403001042 |
| Provider Name | Cheree N Kiser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912613423 PECOS PAC ID: 1951776947 Enrollment ID: I20230404002956 |
| Provider Name | Michael Mccormick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356710636 PECOS PAC ID: 3870958234 Enrollment ID: I20230508002920 |
| Provider Name | Andy Tran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477959443 PECOS PAC ID: 6507221967 Enrollment ID: I20230508002932 |
| Provider Name | Christina M. Casarez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588775233 PECOS PAC ID: 8325403793 Enrollment ID: I20230508002941 |
| Provider Name | Randall Hammer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336852359 PECOS PAC ID: 0143685511 Enrollment ID: I20230508002947 |
| Provider Name | Aaron Levine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326638073 PECOS PAC ID: 8527440163 Enrollment ID: I20230512000162 |
| Provider Name | Kayla Felderhoff Patterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669745428 PECOS PAC ID: 7618333865 Enrollment ID: I20230515001854 |
| Provider Name | Sharon Palen-ramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447518600 PECOS PAC ID: 9234595398 Enrollment ID: I20230515002483 |
| Provider Name | Kevin Joseph Mathew |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326700816 PECOS PAC ID: 0446617369 Enrollment ID: I20230608002302 |
| Provider Name | Nikita Yuskov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861017527 PECOS PAC ID: 0941620173 Enrollment ID: I20230725003645 |
| Provider Name | Brittney Sanders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366139396 PECOS PAC ID: 2466813266 Enrollment ID: I20230726001612 |
| Provider Name | Sarah Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740774108 PECOS PAC ID: 5698136331 Enrollment ID: I20230727004030 |
| Provider Name | Esmeralda Hernandez Ortiz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700586286 PECOS PAC ID: 9335500875 Enrollment ID: I20230801001778 |
| Provider Name | Rachel Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720676737 PECOS PAC ID: 6709290257 Enrollment ID: I20230801004237 |
| Provider Name | Edgar Ludgar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831291335 PECOS PAC ID: 2668381203 Enrollment ID: I20230815002985 |
| Provider Name | Kailey Rebecca Kerstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205439395 PECOS PAC ID: 2567874456 Enrollment ID: I20230821003261 |
| Provider Name | Ekta Desai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548636483 PECOS PAC ID: 9335512086 Enrollment ID: I20230904000210 |
| Provider Name | Timothy Theriault |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336343490 PECOS PAC ID: 4385731637 Enrollment ID: I20230905002116 |
| Provider Name | Hope Mcafee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255942603 PECOS PAC ID: 7416311600 Enrollment ID: I20230906002181 |
| Provider Name | Peyton Arneson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053091066 PECOS PAC ID: 5294199485 Enrollment ID: I20230906002335 |
| Provider Name | Matthew James Hooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649567793 PECOS PAC ID: 3678743770 Enrollment ID: I20230920003036 |
| Provider Name | Edie White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144912528 PECOS PAC ID: 8123472719 Enrollment ID: I20231002000169 |
| Provider Name | Logan Reed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922781954 PECOS PAC ID: 6002260478 Enrollment ID: I20231004000805 |
| Provider Name | Aaron Thomas Weidenaar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649054065 PECOS PAC ID: 4486009180 Enrollment ID: I20231016002934 |
| Provider Name | Aurora Christine Walsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508641911 PECOS PAC ID: 4284080748 Enrollment ID: I20231019003643 |
| Provider Name | Zoie Martha Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952188500 PECOS PAC ID: 3274980644 Enrollment ID: I20231107000055 |
| Provider Name | Eilish Ot Pruitt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972141646 PECOS PAC ID: 6800230343 Enrollment ID: I20240222003967 |
| Provider Name | Dailen Carson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023872553 PECOS PAC ID: 4880039833 Enrollment ID: I20240229000636 |
| Provider Name | Michael Anthony Wheeler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750094728 PECOS PAC ID: 5496191470 Enrollment ID: I20240313000399 |
| Provider Name | Corey Nickerson Ii |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073378097 PECOS PAC ID: 9830536358 Enrollment ID: I20240320000925 |
| Provider Name | Gordon Blake Simmons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164287504 PECOS PAC ID: 8123466125 Enrollment ID: I20240410001592 |
| Provider Name | Kirsten Parrish |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306590179 PECOS PAC ID: 5496194748 Enrollment ID: I20240418003554 |
| Provider Name | Steven Chung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841042819 PECOS PAC ID: 9234578477 Enrollment ID: I20240419002476 |
| Provider Name | Krystal Montgomery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235815838 PECOS PAC ID: 4183066772 Enrollment ID: I20240529000046 |
| Provider Name | Matthew Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609283225 PECOS PAC ID: 0446471932 Enrollment ID: I20240531000332 |
| Provider Name | Logan Emery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932899549 PECOS PAC ID: 8527500818 Enrollment ID: I20240531003758 |
| Provider Name | Kendall Kennedy Welch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275012973 PECOS PAC ID: 6204187727 Enrollment ID: I20240604002076 |
| Provider Name | Tori Annette Sullivan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619566536 PECOS PAC ID: 0840732574 Enrollment ID: I20240610000218 |
| Provider Name | Tylar Sheldon Lanning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720836034 PECOS PAC ID: 8426591512 Enrollment ID: I20240618000151 |
| Provider Name | James Morrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487499265 PECOS PAC ID: 6709321060 Enrollment ID: I20240710003905 |
| Provider Name | Christian Levy Fontenot |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104665314 PECOS PAC ID: 0345785663 Enrollment ID: I20240711000860 |
| Provider Name | Alyssa Ladieu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558110908 PECOS PAC ID: 4981149879 Enrollment ID: I20240716001649 |
| Provider Name | Brooke Mckinley Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043052764 PECOS PAC ID: 2466998182 Enrollment ID: I20240718000949 |
| Provider Name | Patryck Filipczuk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952911620 PECOS PAC ID: 0042639684 Enrollment ID: I20240808003765 |
| Provider Name | Fnu Karishma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033966486 PECOS PAC ID: 9638619497 Enrollment ID: I20240906002768 |
| Provider Name | Taylor Grace Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003648247 PECOS PAC ID: 4284174566 Enrollment ID: I20240913000065 |
| Provider Name | Lucas John Veitenheimer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851125678 PECOS PAC ID: 5698216596 Enrollment ID: I20240918004846 |
| Provider Name | Kayla Cutruzzula |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841729415 PECOS PAC ID: 3072882059 Enrollment ID: I20240923002191 |
| Provider Name | Ashleigh Carlton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922828409 PECOS PAC ID: 6103350855 Enrollment ID: I20241118000943 |
| Provider Name | Sophia Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386454924 PECOS PAC ID: 3779011861 Enrollment ID: I20250117000835 |
| Provider Name | Deterriyon Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043720592 PECOS PAC ID: 8325578859 Enrollment ID: I20250212002442 |
| Provider Name | Adam Harris Riedel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255157293 PECOS PAC ID: 7618498288 Enrollment ID: I20250312000169 |