Gordon Blake Simmons, | |
1101 Raintree Cir, Allen, TX 75013-4922 | |
(214) 509-0029 | |
Not Available |
Full Name | Gordon Blake Simmons |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1101 Raintree Cir, Allen, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164287504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Vista Jv Partners Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1326753377 PECOS PAC ID: 3274998224 Enrollment ID: O20230427000944 |
Mailing Address | Practice Location Address |
---|---|
Gordon Blake Simmons, 3531 Briarcliff Dr, Prosper, TX 75078-1609 Ph: (214) 402-4704 | Gordon Blake Simmons, 1101 Raintree Cir, Allen, TX 75013-4922 Ph: (214) 509-0029 |
Mrs. Michelle Mundy Teague, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 W Mcdermott Dr Ste 50, Allen, TX 75013 Phone: 972-359-1288 Fax: 972-359-9652 | |
John Burgess, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 S Greenville Ave, Allen, TX 75002 Phone: 877-407-3422 Fax: 877-407-4329 | |
Joel Reyes Pt, Dpt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1427 Capstan Dr, Allen, TX 75013 Phone: 614-214-5890 | |
Katy M Ranes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 963 Sam Rayburn Tollway, Allen, TX 75013 Phone: 469-322-1400 | |
Parker Schofield Folliard, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1101 Raintree Cir Ste 150, Allen, TX 75013 Phone: 469-313-0910 | |
Lynn Kernan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 W Mcdermott Dr, Suite 50, Allen, TX 75013 Phone: 972-359-1288 Fax: 972-359-9652 | |
Kai Qi Cui, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1267 W Exchange Pkwy Ste 400, Allen, TX 75013 Phone: 945-899-6343 |