| Sentry Safety And Pt | |
|
805 N Richardson Ave Roswell NM 88201-4920 | |
| (575) 622-6260 | |
| (575) 622-6326 |
| Full Name | Sentry Safety And Pt |
|---|---|
| Speciality | Physical Therapist |
| Location | 805 N Richardson Ave, Roswell, New Mexico |
| Authorized Official Name and Position | Robert Ryan Wooley (OWNER / CLINICIAN) |
| Authorized Official Contact | 5756226260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sentry Safety And Pt 805 N Richardson Ave Roswell NM 88201-4920 Ph: (575) 622-6260 | Sentry Safety And Pt 805 N Richardson Ave Roswell NM 88201-4920 Ph: (575) 622-6260 |
| NPI Number | 1619349743 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 2264730860 |
|---|---|
| Medicare Enrollment ID | O20160415000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619349743 | NPI | - | NPPES |
| Provider Name | Robert Ryan Wooley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184934218 PECOS PAC ID: 2860673803 Enrollment ID: I20110223000644 |
| Provider Name | Kiersten R Lynn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700317583 PECOS PAC ID: 0547546947 Enrollment ID: I20170420000335 |
| Provider Name | Jean Marie Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841690716 PECOS PAC ID: 5799046173 Enrollment ID: I20180227001979 |
| Provider Name | Taylor Buessing |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366965238 PECOS PAC ID: 1052726338 Enrollment ID: I20211130000644 |
| Provider Name | Shelby R Tarango |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366944266 PECOS PAC ID: 8729440979 Enrollment ID: I20230821000016 |
| Provider Name | Maryann Murphy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740870880 PECOS PAC ID: 7810334117 Enrollment ID: I20240322000102 |
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Shekinah Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 S Wyoming Ave, Roswell, NM 88203 Phone: 575-578-9450 | |
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