Christopher Ryan Tate, PT, DPT | |
129 Corporate Dr, Covington, LA 70433-1057 | |
(985) 249-6111 | |
Not Available |
Full Name | Christopher Ryan Tate |
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Gender | Male |
Speciality | Physical Therapist |
Location | 129 Corporate Dr, Covington, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740971894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11503 (Louisiana) | Primary |
Provider Name | Covington Physical Therapy Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740347368 PECOS PAC ID: 9335243476 Enrollment ID: O20070330000047 |
Mailing Address | Practice Location Address |
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Christopher Ryan Tate, PT, DPT 209 Cottage Green Ln, Covington, LA 70435-5641 Ph: (985) 773-3202 | Christopher Ryan Tate, PT, DPT 129 Corporate Dr, Covington, LA 70433-1057 Ph: (985) 249-6111 |
Austen Chase Dwight, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E Boston St, Covington, LA 70433 Phone: 985-630-4489 | |
Lea Anne Krieger, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19105 Sandy Ln, Covington, LA 70433 Phone: 985-792-7700 | |
Laura Eckel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 653 Myrtle Dr, Covington, LA 70433 Phone: 985-893-4700 Fax: 985-893-3211 | |
Christian Paul Stafford, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 70367 S Tyler St Suite 200, #21, Covington, LA 70433 Phone: 985-590-3303 | |
Kevin Gilbert Baer, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 71121 Highway 21 Apt D, Covington, LA 70433 Phone: 985-898-3979 Fax: 985-898-3981 | |
Crystal C. Ferris, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Northpark Blvd, Suite 205, Covington, LA 70433 Phone: 985-871-7878 | |
Jonathan Bonfiglio, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Ochsner Blvd, Suite A, Covington, LA 70433 Phone: 985-801-7145 Fax: 985-801-7146 |