Core Physical Therapy And Performance, Llc | |
460 Ashley Ridge Blvd Ste 800, Shreveport, LA 71106-7238 | |
(318) 868-6172 | |
(318) 868-6173 |
Full Name | Core Physical Therapy And Performance, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 460 Ashley Ridge Blvd Ste 800, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609243716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Christopher R Fultz |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952790917 PECOS PAC ID: 2264732429 Enrollment ID: I20151223000161 |
Provider Name | Brennan A Bernard |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942509997 PECOS PAC ID: 8628378882 Enrollment ID: I20151223000524 |
Provider Name | Mason Mcgee |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871926360 PECOS PAC ID: 1850653148 Enrollment ID: I20180327000066 |
Provider Name | Trent M Andre |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053966192 PECOS PAC ID: 8527490200 Enrollment ID: I20191119000317 |
Provider Name | Megan S Jones |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700511003 PECOS PAC ID: 6103209721 Enrollment ID: I20220815002813 |
Provider Name | Lance C Tucker |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982289997 PECOS PAC ID: 7517328602 Enrollment ID: I20230806000144 |
Provider Name | Mary C Kneip |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790521334 PECOS PAC ID: 8820521016 Enrollment ID: I20241025003150 |
Mailing Address | Practice Location Address |
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Core Physical Therapy And Performance, Llc Po Box 53614, Lafayette, LA 70505-3614 Ph: (337) 233-7977 | Core Physical Therapy And Performance, Llc 460 Ashley Ridge Blvd Ste 800, Shreveport, LA 71106-7238 Ph: (318) 868-6172 |
Suzannah Kathryn York - Crump, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 266 Ockley Dr, Shreveport, LA 71105 Phone: 337-580-0083 Fax: 337-580-0083 | |
Anna Means Moore, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Fairfield Ave, Shreveport, LA 71104 Phone: 318-841-0696 Fax: 318-841-0776 | |
Sydney Williams, Physical Therapist Medicare: Medicare Enrolled Practice Location: 670 Albemarle Dr Ste 1100, Shreveport, LA 71106 Phone: 318-828-1450 Fax: 318-828-2697 | |
Archna Shasta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7591 Fern Ave Ste 1203, Shreveport, LA 71105 Phone: 318-828-2972 | |
Eberhardt Physical Therapy & Wellness Clinic, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Jordan St Ste 150, Shreveport, LA 71101 Phone: 318-222-7442 Fax: 318-424-4751 | |
Claire Marie Melebeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, School Of Allied Health, Shreveport, LA 71103 Phone: 318-813-2961 Fax: 318-813-2989 | |
Michael Wayne Wiltcher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10178 Berrywood Cir, Shreveport, LA 71106 Phone: 318-469-4349 |