Brooke Nichole Godino, PT | |
2545 Perryton Pkwy Ste 35, Pampa, TX 79065-2820 | |
(806) 486-1697 | |
(806) 412-5573 |
Full Name | Brooke Nichole Godino |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2545 Perryton Pkwy Ste 35, Pampa, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073897682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1200317 (Texas) | Primary |
Provider Name | Phytex Rehabilitation, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1053405977 PECOS PAC ID: 7012016959 Enrollment ID: O20070619000181 |
Mailing Address | Practice Location Address |
---|---|
Brooke Nichole Godino, PT 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 Ph: (432) 550-4700 | Brooke Nichole Godino, PT 2545 Perryton Pkwy Ste 35, Pampa, TX 79065-2820 Ph: (806) 486-1697 |
Back2activity Physical Therapy, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1500 N Hobart St, Pampa, TX 79065 Phone: 806-419-1168 Fax: 806-419-1149 | |
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 |