Destination Therapy is a medicare enrolled "Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf)" provider in Arlington, Texas. Their current practice location is
2001 Se Green Oaks Blvd Ste 130, Arlington, Texas. You can reach out to their office (for appointments etc.) via phone at
(817) 473-1312.
Destination Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Destination Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1831712413.
Healthcare Provider's Profile
| Full Name | Destination Therapy |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
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| Location | 2001 Se Green Oaks Blvd Ste 130, Arlington, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831712413
- Provider Enumeration Date: 05/18/2020
- Last Update Date: 07/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173820651
- Enrollment ID: O20160329000156
Medical Identifiers
Medical identifiers for Destination Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831712413 | NPI | - | NPPES |
| 45D2207166 | Other | TX | CLIA |
| 482228 | Other | TX | PTAN |
| 404951201 | Medicaid | TX | |
| 25D2200016 | Other | MS | CLIA MS |
| 567960000 | Other | TX | THERAPY CLINIC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Secondary |
| 261QR0401X | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| 332BP3500X | Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Destination Therapy acts as a billing entity for following providers:
| Provider Name | Zemelda Carr |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1790003531
PECOS PAC ID: 6608185624
Enrollment ID: I20160329000251 |
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| Provider Name | Felicia Keys |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1497187512
PECOS PAC ID: 5193953883
Enrollment ID: I20200521002939 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Destination Therapy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Destination Therapy
2001 Se Green Oaks Blvd Ste 130,
Arlington, TX 76018-0952
Ph: (817) 473-1312 | Destination Therapy
2001 Se Green Oaks Blvd Ste 130,
Arlington, TX 76018-0952
Ph: (817) 473-1312 |
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