Ellen Jordahl, | |
204 S Interstate 35 Ste 203, Georgetown, TX 78628-4125 | |
(512) 863-7761 | |
Not Available |
Full Name | Ellen Jordahl |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 204 S Interstate 35 Ste 203, Georgetown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285113027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1310133 (Texas) | Primary |
Provider Name | Texas Physical Therapy Specialists |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689781338 PECOS PAC ID: 2567422538 Enrollment ID: O20041013001437 |
Mailing Address | Practice Location Address |
---|---|
Ellen Jordahl, 12508 Jones Maltsberger Rd Ste 110, San Antonio, TX 78247-4215 Ph: (888) 590-4002 | Ellen Jordahl, 204 S Interstate 35 Ste 203, Georgetown, TX 78628-4125 Ph: (512) 863-7761 |
Andrew P Creal, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4879 Williams Dr Ste 103, Georgetown, TX 78633 Phone: 512-843-0118 Fax: 512-843-0108 | |
Ashler Gowen, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1502 Blue Ridge Drive, Suite 304, Georgetown, TX 78626 Phone: 512-699-1228 | |
Ms. Ma Nila Romano Seno, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4011 Williams Dr, Georgetown, TX 78628 Phone: 512-868-2700 | |
Honoree Mcgraw Pope, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4402 Williams Dr Ste 115, Georgetown, TX 78628 Phone: 336-782-1555 | |
Mr. Jeffrey Lum, PT, MPT, DIP MDT Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Quail Valley Dr, Georgetown, TX 78626 Phone: 512-559-6551 Fax: 512-591-0789 | |
Jissa Thayil, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2406 Brookhollow Ter, Georgetown, TX 78626 Phone: 183-262-0316 | |
Cari Springfield, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3610 Williams Dr, Georgetown, TX 78628 Phone: 972-965-2274 |