| Corey Samudosky, PT, DPT | |
|
609 Medical Center Dr Bldg 200, Decatur, TX 76234-3866 | |
| (940) 626-1360 | |
| Not Available |
| Full Name | Corey Samudosky |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 609 Medical Center Dr Bldg 200, Decatur, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386415172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | 1373953 (Texas) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 1373953 (Texas) | Primary |
| Provider Name | Bonnette Elite Physical Therapy And Wellness |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891141362 PECOS PAC ID: 1759671399 Enrollment ID: O20160609001640 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Samudosky, PT, DPT 2951 Picadilly Ln Apt 826, Denton, TX 76207-2084 Ph: (412) 651-4379 | Corey Samudosky, PT, DPT 609 Medical Center Dr Bldg 200, Decatur, TX 76234-3866 Ph: (940) 626-1360 |
Wise Performance Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1208 S Fm 51, Suite B, Decatur, TX 76234 Phone: 940-627-7554 Fax: 940-627-7582 | |
Dr. Paola Eusse, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 609 Medical Center Dr, Decatur, TX 76234 Phone: 940-627-5921 | |
Kirsten Patton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 W Mulberry St, Decatur, TX 76234 Phone: 940-627-5444 | |
Jim Bui, ATC, LAT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Westside Dr Ste 200, Decatur, TX 76234 Phone: 918-619-3256 | |
Tad Montgomery, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1121 County Road 2224, Decatur, TX 76234 Phone: 940-255-2255 | |
Nicholas Gregg Young, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1513 Hidden Springs Rd, Decatur, TX 76234 Phone: 432-266-8571 |