Holly Kristen Dickson, PT | |
2800 E.state Hwy 114, Suite 220, Roanoke, TX 76262-5624 | |
(817) 491-3403 | |
(817) 491-3308 |
Full Name | Holly Kristen Dickson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2800 E.state Hwy 114, Roanoke, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013968882 | NPI | - | NPPES |
85811T | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1136273 (Texas) | Primary |
Provider Name | Empower Physical Therapy Tx Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588205033 PECOS PAC ID: 1658705942 Enrollment ID: O20191219000611 |
Mailing Address | Practice Location Address |
---|---|
Holly Kristen Dickson, PT 311 Skyline Dr, Trophy Club, TX 76262-5624 Ph: (817) 707-7025 | Holly Kristen Dickson, PT 2800 E.state Hwy 114, Suite 220, Roanoke, TX 76262-5624 Ph: (817) 491-3403 |
Mr. Daniel Aerol Pado Sadural, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 409 N Oak St Ste 220, Roanoke, TX 76262 Phone: 682-502-4440 Fax: 682-502-4490 | |
Valentine Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1212 N Highway 377 Ste 111, Roanoke, TX 76262 Phone: 214-494-6287 | |
Judy Karrenbrock, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 N Oak St Ste 100, Roanoke, TX 76262 Phone: 903-574-3750 Fax: 817-697-0007 | |
Sarah Elizabeth Morgan, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 409 N Oak St Ste 220, Roanoke, TX 76262 Phone: 682-502-4440 | |
Kim Tong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1756 Halifax St, Roanoke, TX 76262 Phone: 469-993-8028 | |
Free To Move, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 N Oak St Ste 100, Roanoke, TX 76262 Phone: 903-574-3750 Fax: 817-697-0007 |