Dynamic Physical Therapy Orthopedic Spine And Sports, Pllc is a medicare enrolled "Physical Therapist" provider in Devine, Texas. Their current practice location is
203 E College Ave, Suite A, Devine, Texas. You can reach out to their office (for appointments etc.) via phone at
(830) 663-5397.
Dynamic Physical Therapy Orthopedic Spine And Sports, Pllc is licensed to practice in Texas (license number 1193323) and it also participates in the medicare program. Dynamic Physical Therapy Orthopedic Spine And Sports, Pllc
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 1295156792.
Healthcare Provider's Profile
| Full Name | Dynamic Physical Therapy Orthopedic Spine And Sports, Pllc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 203 E College Ave, Devine, 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: 1295156792
- Provider Enumeration Date: 12/31/2013
- Last Update Date: 07/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 1951527977
- Enrollment ID: O20140729001011
Medical Identifiers
Medical identifiers for Dynamic Physical Therapy Orthopedic Spine And Sports, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295156792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1193323 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dynamic Physical Therapy Orthopedic Spine And Sports, Pllc acts as a billing entity for following providers:
| Provider Name | Martin Noyola |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1871823070
PECOS PAC ID: 4486801826
Enrollment ID: I20120820001168 |
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| Provider Name | Courtney K Tschirhart |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1306362314
PECOS PAC ID: 0547536112
Enrollment ID: I20171026000480 |
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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. Dynamic Physical Therapy Orthopedic Spine And Sports, Pllc 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 |
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Dynamic Physical Therapy Orthopedic Spine And Sports, Pllc
203 E College Ave, Suite A,
Devine, TX 78016-2919
Ph: () - | Dynamic Physical Therapy Orthopedic Spine And Sports, Pllc
203 E College Ave, Suite A,
Devine, TX 78016-2919
Ph: (830) 663-5397 |
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