| Colleyville Physical Therapy And Sports Rehab, Pc | |
|
1109 Church Street, Colleyville, TX 76034-5489 | |
| (817) 498-3919 | |
| (817) 498-7080 |
| Full Name | Colleyville Physical Therapy And Sports Rehab, Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1109 Church Street, Colleyville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134158371 | NPI | - | NPPES |
| 0097EX | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Joel D Judd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962435701 PECOS PAC ID: 0941294581 Enrollment ID: I20050127000187 |
| Provider Name | Natalie Droogsma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669712352 PECOS PAC ID: 0648418871 Enrollment ID: I20130530000298 |
| Provider Name | Karen R Roeming |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255543484 PECOS PAC ID: 8628207214 Enrollment ID: I20140130001001 |
| Provider Name | Kim Y.m. Chiappetta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477659936 PECOS PAC ID: 4183772197 Enrollment ID: I20140729001926 |
| Provider Name | Randy M Hasik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376913632 PECOS PAC ID: 2466754627 Enrollment ID: I20160105000960 |
| Provider Name | Stacey M Seifert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437609906 PECOS PAC ID: 3971884198 Enrollment ID: I20161230001737 |
| Provider Name | Kandy Kobar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053363721 PECOS PAC ID: 5698043875 Enrollment ID: I20170612001227 |
| Provider Name | Kaitlyn M Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073097424 PECOS PAC ID: 3274887435 Enrollment ID: I20181107001623 |
| Provider Name | Caitlyn C Elder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861047276 PECOS PAC ID: 6305175811 Enrollment ID: I20190909003344 |
| Provider Name | Nicole Diamond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013563063 PECOS PAC ID: 9537490495 Enrollment ID: I20191008003258 |
| Provider Name | Morgan C Fogel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619405651 PECOS PAC ID: 8628342680 Enrollment ID: I20220103001333 |
| Provider Name | Erica Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710631643 PECOS PAC ID: 4688068919 Enrollment ID: I20220302000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleyville Physical Therapy And Sports Rehab, Pc 1109 Church St, Colleyville, TX 76034-5849 Ph: (817) 498-3919 | Colleyville Physical Therapy And Sports Rehab, Pc 1109 Church Street, Colleyville, TX 76034-5489 Ph: (817) 498-3919 |
Dr. Nicole Diamond, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1109 Church St, Colleyville, TX 76034 Phone: 817-498-3919 Fax: 817-498-7080 | |
Cherlynn Renee Townsend, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4843 Colleyville Blvd Ste 221, Colleyville, TX 76034 Phone: 972-979-6577 | |
Chloe Daugherty, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1109 Church St, Colleyville, TX 76034 Phone: 817-498-3919 Fax: 817-498-7080 | |
Mrs. Lorraine Ann Gohr, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Lavaca Trl, Colleyville, TX 76034 Phone: 682-551-7280 | |
Kaitlyn Marie Taylor, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1109 Church St, Colleyville, TX 76034 Phone: 817-498-3919 Fax: 817-498-7080 | |
Anne Fecht Hanson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1713 Arthur Dr, Colleyville, TX 76034 Phone: 214-280-5994 |