<unavail> in Port Lavaca, TX - Medicare Physical Therapist Provider

is a medicare enrolled "Physical Therapist" provider in Port Lavaca, Texas. Their current practice location is 128 N Commerce St, Port Lavaca, Texas. You can reach out to their office (for appointments etc.) via phone at (361) 552-1977.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1952349631.

Contact Information


	128 N Commerce St, Port Lavaca, TX 77979-3435
	(361) 552-1977
	(361) 552-7686

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Physical Therapist
Location	128 N Commerce St, Port Lavaca, Texas
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952349631
Provider Enumeration Date: 06/03/2006
Last Update Date: 01/02/2025

Medicare PECOS Information:

PECOS PAC ID: 4183698574
Enrollment ID: O20040823000255

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952349631	NPI	-	NPPES
176041501	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
235Z00000X	Speech-language Pathologist	(* (Not Available))	Secondary
261QP2000X	Clinic/center - Physical Therapy	(* (Not Available))	Secondary

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. 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
Po Box 3666, Victoria, TX 77903-3666 Ph: (361) 572-4246	128 N Commerce St, Port Lavaca, TX 77979-3435 Ph: (361) 552-1977

Reviews and Comments

Physical Therapist in Port Lavaca, TX

Mary Elizabeth Fuller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-5400
Mrs. Kendra Anne Bunurai, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 N Commerce St, Port Lavaca, TX 77979 Phone: 361-552-1977 Fax: 361-552-7686
Eddie Teague, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 N Virginia St, Port Lavaca, TX 77979 Phone: 361-551-2513 Fax: 361-551-2528
Connor Dieringer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Trinity Shores Dr, Port Lavaca, TX 77979 Phone: 325-869-5911
Penny Goulden, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 N Virginia St, Port Lavaca, TX 77979 Phone: 361-551-2513 Fax: 361-551-2528
Mr. Ross Mansker, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 N Commerce St, Port Lavaca, TX 77979 Phone: 361-552-1977 Fax: 361-552-7686

- Medicare Physical Therapist in Port Lavaca, TX