| Heena Patel, PT | |
|
2360 W Camp Wisdom Rd Ste 140, Grand Prairie, TX 75052-2216 | |
| (469) 460-6683 | |
| (469) 348-2396 |
| Full Name | Heena Patel |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2360 W Camp Wisdom Rd Ste 140, Grand Prairie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427648864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4710 (New Hampshire) | Primary |
| 225100000X | Physical Therapist | (Texas) | Secondary |
| Provider Name | Ideal Physical Therapy Of Texas Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Heena Patel, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Heena Patel, PT 2360 W Camp Wisdom Rd Ste 140, Grand Prairie, TX 75052-2216 Ph: (469) 460-6683 |
Devic Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7220 Vienta Pt, Grand Prairie, TX 75054 Phone: 817-881-9677 | |
Farrah E Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3824 S Carrier Pkwy, Suite 470, Grand Prairie, TX 75052 Phone: 972-262-9972 Fax: 972-262-9986 | |
Holly Sophia Martinez, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 397 Armed Forces Dr Bldg 8300, Grand Prairie, TX 75051 Phone: 512-782-5001 | |
Alyssa Nicole Rios, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2360 W Camp Wisdom Rd Ste 140, Grand Prairie, TX 75052 Phone: 469-460-6683 | |
Mrs. Edolo O Azenabor, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2306 Oak Ln Ste 206, Grand Prairie, TX 75051 Phone: 972-262-6400 Fax: 972-262-6544 | |
Dr. Joel A Terjak, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3055 Bardin Rd Ste 220, Grand Prairie, TX 75052 Phone: 972-522-2200 | |
Mychael Ray Ramirez, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3824 S Carrier Pkwy, Suite 470, Grand Prairie, TX 75052 Phone: 972-262-9972 Fax: 972-262-9986 |