| Gateway Physical Therapy | |
|
8857 Davis Blvd, Suite 100, Keller, TX 76248-0308 | |
| (817) 431-8700 | |
| (817) 431-8811 |
| Full Name | Gateway Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 8857 Davis Blvd, Keller, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902183643 | NPI | - | NPPES |
| 0098WZ | Other | TX | BCBS TX |
| 3073934-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 671580000 (Texas) | Primary |
| Provider Name | Richard Ancell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689067282 PECOS PAC ID: 0244557387 Enrollment ID: I20150330000120 |
| Provider Name | Jason W Devoe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831575042 PECOS PAC ID: 5193156032 Enrollment ID: I20200511000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Physical Therapy 8857 Davis Blvd, Suite 100, Keller, TX 76248-0308 Ph: (817) 431-8700 | Gateway Physical Therapy 8857 Davis Blvd, Suite 100, Keller, TX 76248-0308 Ph: (817) 431-8700 |
Jacob T Jackson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Bourland Rd Ste 170b, Keller, TX 76248 Phone: 800-404-6050 | |
Erin Clifton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1652 Keller Parkway, Ste 100, Keller, TX 76248 Phone: 871-562-3111 Fax: 817-562-3114 | |
Mrs. Rachelle Lea Shelton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1652 Keller Parkway, Ste 100, Keller, TX 76248 Phone: 817-562-3111 Fax: 817-562-3114 | |
Kimberely Holloway, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1211 S Main St Ste 500, Keller, TX 76248 Phone: 312-882-7386 Fax: 334-593-8032 | |
Olivia Kendall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4120 Heritage Trace Parkway, Keller, TX 76244 Phone: 817-741-7585 Fax: 817-741-7587 | |
Gregory Paul Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 986 Quail Rdg, Keller, TX 76248 Phone: 903-818-7696 | |
Rebecca Meehan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 460 Keller Pkwy, Suite 460a, Keller, TX 76248 Phone: 817-562-1474 |