Back2activity Physical Therapy, Pllc | |
1500 N Hobart St, Pampa, TX 79065-4126 | |
(806) 419-1168 | |
(806) 419-1149 |
Full Name | Back2activity Physical Therapy, Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1500 N Hobart St, Pampa, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043879018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Kimberlea Mae Mckandles Moore |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568026557 PECOS PAC ID: 6002141033 Enrollment ID: I20190715000532 |
Mailing Address | Practice Location Address |
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Back2activity Physical Therapy, Pllc 1814 Charles St, Pampa, TX 79065-3610 Ph: (806) 419-1168 | Back2activity Physical Therapy, Pllc 1500 N Hobart St, Pampa, TX 79065-4126 Ph: (806) 419-1168 |
Brooke Nichole Godino, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2545 Perryton Pkwy Ste 35, Pampa, TX 79065 Phone: 806-486-1697 Fax: 806-412-5573 | |
Jennifer Danielle Hataway, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 N Price Rd, Pampa, TX 79065 Phone: 806-665-7261 Fax: 806-665-0537 | |
Mrs. Jodi B Roden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 N Hobart, Pampa, TX 79065 Phone: 806-665-3668 Fax: 806-665-3760 | |
Dr. David Ray Godino, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2545 Perryton Pkwy Ste 35, Pampa, TX 79065 Phone: 806-486-1697 Fax: 806-412-5573 | |
Physical Therapy Extra - Pampa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2545 Perryton Pkwy Ste 35, Pampa, TX 79065 Phone: 806-486-1697 | |
Kimberlea Mae Mckandles Moore, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1320 N Banks St, Pampa, TX 79065 Phone: 806-663-2601 |