| Mr Jeffrey Lum, PT, MPT, DIP MDT | |
|
601 Quail Valley Dr, Georgetown, TX 78626-8051 | |
| (512) 559-6551 | |
| (512) 591-0789 |
| Full Name | Mr Jeffrey Lum |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 601 Quail Valley Dr, Georgetown, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104069913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT35353 (California) | Secondary |
| 225100000X | Physical Therapist | 1249361 (Texas) | Primary |
| Provider Name | Mobile Spine Specialist Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033743968 PECOS PAC ID: 5799113171 Enrollment ID: O20200730000926 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey Lum, PT, MPT, DIP MDT 601 Quail Valley Dr, Georgetown, TX 78626-8051 Ph: (512) 559-6551 | Mr Jeffrey Lum, PT, MPT, DIP MDT 601 Quail Valley Dr, Georgetown, TX 78626-8051 Ph: (512) 559-6551 |
Andrew P Creal, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4879 Williams Dr Ste 103, Georgetown, TX 78633 Phone: 512-843-0118 Fax: 512-843-0108 | |
Ashler Gowen, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1502 Blue Ridge Drive, Suite 304, Georgetown, TX 78626 Phone: 512-699-1228 | |
Ms. Ma Nila Romano Seno, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4011 Williams Dr, Georgetown, TX 78628 Phone: 512-868-2700 | |
Honoree Mcgraw Pope, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4402 Williams Dr Ste 115, Georgetown, TX 78628 Phone: 336-782-1555 | |
Jissa Thayil, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2406 Brookhollow Ter, Georgetown, TX 78626 Phone: 183-262-0316 | |
Cari Springfield, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3610 Williams Dr, Georgetown, TX 78628 Phone: 972-965-2274 |