Forrest Russell, DPT | |
3000 Fm 407 E Ste 500, Bartonville, TX 76226-9300 | |
(940) 448-2007 | |
Not Available |
Full Name | Forrest Russell |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3000 Fm 407 E Ste 500, Bartonville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679350607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Mcm Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538226840 PECOS PAC ID: 5294798336 Enrollment ID: O20110826000205 |
Mailing Address | Practice Location Address |
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Forrest Russell, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Forrest Russell, DPT 3000 Fm 407 E Ste 500, Bartonville, TX 76226-9300 Ph: (940) 448-2007 |
Tingyoung Ou, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3000 Fm 407 E Ste 500, Bartonville, TX 76226 Phone: 940-448-2007 Fax: 972-979-6951 | |
Carolina Affonso Urbano, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3000 Fm 407 E Ste 500, Bartonville, TX 76226 Phone: 940-448-2007 | |
Shi Qing Ong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Fm 407 E Ste 500, Bartonville, TX 76226 Phone: 972-979-6577 | |
Elizabeth Azpeitia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Fm 407 E Ste 500, Bartonville, TX 76226 Phone: 940-448-2007 | |
Tracy Lynne Egelin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Fm 407 Suite 500, Bartonville, TX 76226 Phone: 940-448-2007 Fax: 940-448-2531 |