Myka Goodrum, OTR/L | |
1101 Keller Pkwy, Keller, TX 76248-3614 | |
(817) 562-3111 | |
(817) 562-3114 |
Full Name | Myka Goodrum |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 1101 Keller Pkwy, Keller, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013485093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 119534 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpro Heritage Rehab And Fitness Llc | 6507832573 | 744 |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839 |
Mailing Address | Practice Location Address |
---|---|
Myka Goodrum, OTR/L 1101 Keller Pkwy, Keller, TX 76248-3614 Ph: (817) 562-3111 | Myka Goodrum, OTR/L 1101 Keller Pkwy, Keller, TX 76248-3614 Ph: (817) 562-3111 |
Mrs. Terra Anita Brown, OTR, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1652 Keller Parkway, Ste 100, Keller, TX 76248 Phone: 817-562-3111 Fax: 817-562-3114 | |
Mrs. Brandi Nelson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Medina Dr, Keller, TX 76248 Phone: 817-991-0489 | |
Martha Maher Iskander, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Keller Pkwy, Keller, TX 76248 Phone: 817-562-3111 | |
Allison Rose Tietjen, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 200 Country Brook Dr, Keller, TX 76248 Phone: 817-562-3100 | |
Koren K Johnson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Pate Orr Rd S, Keller, TX 76248 Phone: 817-337-0162 Fax: 817-337-0235 | |
Mrs. Kristen C Mills, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1652 Keller Parkway, Ste 100, Keller, TX 76248 Phone: 817-562-3111 Fax: 817-562-3114 |