Active Life Physical Therapy | |
2600 Eldorado Pkwy Ste 130, Mckinney, TX 75070-7517 | |
(972) 984-7670 | |
(972) 984-7671 |
Full Name | Active Life Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 2600 Eldorado Pkwy Ste 130, Mckinney, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417311028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Kerwin Noel P Custodio |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497037188 PECOS PAC ID: 9931320462 Enrollment ID: I20141024001586 |
Provider Name | Maria Catherine Y Custodio |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437555323 PECOS PAC ID: 9133442676 Enrollment ID: I20150108000897 |
Provider Name | Marc Conrad Ty Tentativa |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407488562 PECOS PAC ID: 7113331893 Enrollment ID: I20210121001473 |
Provider Name | Mary Kristel Perez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508402637 PECOS PAC ID: 7012322514 Enrollment ID: I20210216000251 |
Provider Name | Chen Zhang |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679168587 PECOS PAC ID: 5698130946 Enrollment ID: I20230420002496 |
Provider Name | Jose Angelo Carino |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891457362 PECOS PAC ID: 8224493598 Enrollment ID: I20230420003128 |
Mailing Address | Practice Location Address |
---|---|
Active Life Physical Therapy 2600 Eldorado Pkwy Ste 130, Mckinney, TX 75070-7517 Ph: (972) 984-7670 | Active Life Physical Therapy 2600 Eldorado Pkwy Ste 130, Mckinney, TX 75070-7517 Ph: (972) 984-7670 |
Mrs. Dione C Giles, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1416 N. Church Street, Mckinney, TX 75069 Phone: 972-562-0190 | |
Jorge Miguel Albinana Cunningham, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3530 W University Dr # 201, Mckinney, TX 75071 Phone: 972-979-6577 | |
Prachi Pratik Patel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2851 Orchid Dr, Mckinney, TX 75072 Phone: 469-343-4999 | |
Taylor Grace Watson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3565 Lakota Trl Ste 100, Mckinney, TX 75070 Phone: 214-592-0599 | |
Kayla West, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3751 S Stonebridge Dr Ste 600, Mckinney, TX 75070 Phone: 469-441-2389 | |
Jaci Lea Willard, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5236 W University Dr Ste 3500, Mckinney, TX 75071 Phone: 469-952-5082 | |
Peak Physical Therapy And Sports Medicine Center Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6045 Alma Rd, Ste 320, Mckinney, TX 75070 Phone: 972-569-9050 Fax: 972-569-9076 |